Individual provider Active NPI

Ian L Bourhill, MD

  • Plastic and Reconstructive Surgery Physician
  • Huntington, NY
National Provider Identifier
1811946767
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
190175 Issued in NY
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

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000732 NY Practitioner - Plastic and Reconstructive Surgery 8426950049 Reassigns benefits to 2 organizations
Practice locations: Huntington, NY

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
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians
Roger Koreen M.D., PCGroup PAC ID 9537161161, 5 clinicians

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 Hospital, Huntington, NY, CCN 330045

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision661
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Koreen M.D., PC CurrentSince Jun 26, 2020 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBJACA/Endpoint/JBJACA
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.