Active NPI
Ian L Bourhill, MD
- Plastic and Reconstructive Surgery Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 190175
- Practice address
- 205 E Main St Ste 1-6
Huntington, NY 11743-7930 - Phone
- (631) 424-4026
- Fax
- (866) 427-7103
- NPI assigned
- May 9, 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 190175 | NY | Primary |
Addresses
Primary practice location
205 E Main St Ste 1-6
Huntington, NY 11743-7930
Mailing address
205 E Main St Ste 1-6
Huntington, NY 11743-7930
Phone (631) 424-4026
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
- Plastic and Reconstructive Surgery
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 E Main St
Suite 1 6
Huntington, NY 11743-7930
Phone (631) 424-4026
260 E Middle Country Rd
Suite 208
Smithtown, NY 11787-2925
Phone (212) 283-3000
28 Elm St
Huntington, NY 11743-3402
Phone (631) 421-4398
385 Merrick Rd
Amityville, NY 11701-3420
Phone (212) 283-3000
Hospital & facility affiliations
- NS/Lij HS Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 661 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger Koreen M.D., PC | Current | Accepting new patients |
Locations
28 Elm St
Huntington, NY 11743
Phone (631) 421-4398
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBJACA/Endpoint/JBJACA
- ian.bourhill@ilbmd.eclinicaldirectplus.com
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.
-
- Specialist
- Huntington, NY
- NPI 1649343914
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
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": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1811946767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E MAIN ST STE 1-6",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437930",
"telephone_number": "631-424-4026",
"fax_number": "866-427-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E MAIN ST STE 1-6",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117437930",
"telephone_number": "631-424-4026",
"fax_number": "866-427-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURHILL",
"first_name": "IAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NY",
"license": "190175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.