Individual provider Active NPI

Aikaterini Papamanoli, MD

  • Infectious Disease Physician
  • Stony Brook, NY
National Provider Identifier
1780241091
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
327650 Issued in NY
Practice address
Stony Brook University / Div of Infectious Diseases
101 Nicols Road HSC T 17 RM 060
Stony Brook, NY 11794-8153
Phone
(631) 444-3940
Fax
(631) 444-7518
NPI assigned
May 22, 2019
Reactivated
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 327650 NY Primary

Addresses

Primary practice location

Stony Brook University / Div of Infectious Diseases
101 Nicols Road HSC T 17 RM 060
Stony Brook, NY 11794-8153

Mailing address

Stony Brook University / Div of Infectious Diseases
101 Nicols Road HSC T 17 RM 060
Stony Brook, NY 11794-8153
Phone (631) 444-3940

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
I20240321003483 NY Practitioner - Infectious Disease 0547597080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

205 N Belle Mead Rd
East Setauket, NY 11733-3483
Phone (631) 444-4630

26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580

PO Box
Suite 1554
Stony Brook, NY 11790-0989

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327650NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Feb 1, 2024 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Current Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Infectious Disease CurrentSince Feb 1, 2024 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients

Locations

600 Main St
Ste B
Center Moriches, NY 11934
Phone (631) 444-7875

500 Commack Rd
Ste 103
Commack, NY 11725
Phone (631) 638-0160

26 Research Way
East Setauket, NY 11733
Phone (631) 444-0502

4 Smith Haven Mall
Ste 203
Lake Grove, NY 11755
Phone (631) 444-0561

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

205 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-1660

101 Nicolls Rd
Rm 60
Stony Brook, NY 11794
Phone (631) 444-3490

Networks

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

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 8

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1780241091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY / DIV OF INFECTIOUS DISEASES",
            "address_2": "101 NICOLS ROAD HSC T 17 RM 060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948153",
            "telephone_number": "631-444-3940",
            "fax_number": "631-444-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY / DIV OF INFECTIOUS DISEASES",
            "address_2": "101 NICOLS ROAD HSC T 17 RM 060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948153",
            "telephone_number": "631-444-3940",
            "fax_number": "631-444-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAMANOLI",
        "first_name": "AIKATERINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "deactivation_date": "2020-01-13",
        "reactivation_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "327650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.