Active NPI
Brian Durkin, D.O.
- Pain Medicine (Anesthesiology) Physician
- Port Jefferson, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 236061
- Practice address
- 635 Belle Terre Rd # 209
Port Jefferson, NY 11777-1935 - Phone
- (631) 474-0707
- Fax
- (631) 828-6309
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 236061 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 236061 | NY | Primary |
Addresses
Primary practice location
635 Belle Terre Rd # 209
Port Jefferson, NY 11777-1935
Mailing address
635 Belle Terre Rd Ste 209
Port Jefferson, NY 11777-1987
Phone (631) 474-0707
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
- Pain Management
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 Route 112
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000
217 Portion Rd
Ronkonkoma, NY 11779-2341
Phone (631) 751-3000
365 E Main St
Patchogue, NY 11772-3145
Phone (631) 751-3000
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Hospital & facility affiliations
- St Charles Hospital
- Suny/Stony Brook University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236061 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| Long Island Physician Associates, PLLC | Current | Accepting new patients | |
| Precision SC, LLC | Past | Accepting new patients |
Locations
635 Belle Terre Rd
Ste 209
Port Jefferson, NY 11777
Phone (631) 503-1400
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
5316 Nesconset Hwy
Ste 100
Port Jefferson Station, NY 11776
70 N Country Rd
Ste 203
Prt Jefferson, NY 11777
Phone (631) 744-3611
333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400
181 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-0624
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Surgery Physician
- Port Jefferson, NY
- NPI 1871906941
-
- Ambulatory Surgical Clinic/Center
- East Setauket, NY
- NPI 1679108914
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1790713162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 BELLE TERRE RD STE 209",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771987",
"telephone_number": "631-474-0707",
"fax_number": "631-828-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 BELLE TERRE RD # 209",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771935",
"telephone_number": "631-474-0707",
"fax_number": "631-828-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURKIN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "236061",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "236061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.