Active NPI
Scott R Capustin, M.D.
- Pulmonary Disease Physician
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 163037
- Practice address
- 269 E Main St
BLDG E
Smithtown, NY 11787-2832 - Phone
- (631) 361-7444
- Fax
- (361) 361-4645
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 163037 | NY | Primary |
Addresses
Primary practice location
269 E Main St
BLDG E
Smithtown, NY 11787-2832
Mailing address
269 E Main St
BLDG E
Smithtown, NY 11787-2832
Phone (631) 361-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- New York Medical College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Port Washington Blvd
Roslyn, NY 11576-1347
1000 N Village Ave
Rockville Center, NY 11570-1000
50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000
500 Commack Rd
Commack, NY 11725-5009
Phone (631) 689-6698
Hospital & facility affiliations
- St Catherine of Siena Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients |
Locations
500 Commack Rd
Ste D
Commack, NY 11725
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
269 E Main St
Bldg E
Smithtown, NY 11787
Phone (631) 361-7444
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- scapustin14423@direct-chsli.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1982663423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1770517211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 E MAIN ST",
"address_2": "BLDG E",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872832",
"telephone_number": "631-361-7444",
"fax_number": "361-361-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 E MAIN ST",
"address_2": "BLDG E",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872832",
"telephone_number": "631-361-7444",
"fax_number": "361-361-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPUSTIN",
"first_name": "SCOTT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "163037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.