Active NPI
Santhosh K Paulus, MD
- Family Medicine Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 237120
- Practice address
- 101 Saint Andrews LN
Glen Cove, NY 11542-2254 - Phone
- (516) 674-7900
- Fax
- (516) 674-7904
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 237120 | NY | Primary |
Addresses
Primary practice location
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Mailing address
972 Brush Hollow Rd
4TH Floor
Westbury, NY 11590-1740
Phone (516) 876-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02743391 | Medicaid | NY |
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
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
270 Park Ave
Suite 1
Huntington, NY 11743-2787
Phone (631) 351-2219
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237120 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Hospital Association | Current | Accepting new patients | |
| Huntington Hospital Association | Current | Accepting new patients | |
| Huntington Hospital Association | Current | Accepting new patients | |
| Huntington Hospital Association | Past | Accepting new patients | |
| Huntington Hospital Association | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
27005 76th Ave
North New Hyde Pk, NY 11040
972 Brush Hollow Rd
Fl 4
Westbury, NY 11590
Phone (516) 321-7526
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 6
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
dba Huntington Hospital Faculty Practice
- Physician Assistant
- Huntington, NY
- NPI 1386619385
-
dba Huntington Hospital ICU
- Critical Care Medicine (Internal Medicine) Physician
- Huntington, NY
- NPI 1487629069
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Huntington, NY
- NPI 1922283480
-
dba Cardiology Department/ Echo
- Nuclear Cardiology Physician
- Huntington, NY
- NPI 1225003221
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, NY
- NPI 1508845322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801981733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 BRUSH HOLLOW RD",
"address_2": "4TH FLOOR",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115901740",
"telephone_number": "516-876-5555",
"fax_number": "516-876-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SAINT ANDREWS LN",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422254",
"telephone_number": "516-674-7900",
"fax_number": "516-674-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULUS",
"first_name": "SANTHOSH",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "237120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02743391",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.