Individual provider Active NPI

Robert Thomas Chatalbash, MD

  • Gastroenterology Physician
  • Bay Shore, NY
National Provider Identifier
1770696197
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1640901 Issued in NY
Practice address
375 East Main Street
Suite 21
Bay Shore, NY 11706
Phone
(631) 968-8288
Fax
(631) 968-8268
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1640901 NY Primary

Addresses

Primary practice location

375 East Main Street
Suite 21
Bay Shore, NY 11706

Mailing address

375 East Main Street
Suite 21
Bay Shore, NY 11706
Phone (631) 968-8288

Other identifiers 1

IdentifierTypeStateIssuer
01257249MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000116 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0446388177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

39 Brentwood Rd
Bay Shore, NY 11706-8010
Phone (631) 666-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1640901NYMDGastroenterology Physician
177095NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Long Island Jewish Health Care Inc CurrentSince Nov 5, 2012 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 29, 2017 Accepting new patients
North Shore Long Island Jewish Healthcare CurrentSince Nov 5, 2012 Accepting new patients
Peconic Bay Primary Medical Care Past Accepting new patients

Locations

39 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 591-7400

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

39 Brentwood Rd
Ste 201
Bay Shore, NY 11706
Phone (631) 968-8288

375 E Main St
Ste 21
Bay Shore, NY 11706
Phone (516) 968-8288

375 E Main St
Bay Shore, NY 11706
Phone (631) 665-2255

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

222 Westchester Ave
White Plains, NY 10604
Phone (914) 428-6700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: robertchatalbash@nslijmedgr.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1770696197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 EAST MAIN STREET",
            "address_2": "SUITE 21",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-8288",
            "fax_number": "631-968-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 EAST MAIN STREET",
            "address_2": "SUITE 21",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-8288",
            "fax_number": "631-968-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATALBASH",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1640901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01257249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.