Individual provider Active NPI

Dinesh K Sood, MD

  • Psychiatry Physician
  • Melville, NY
National Provider Identifier
1821056334
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
165145 Issued in NY
Practice address
555 Broadhollow Rd
Suite #107
Melville, NY 11747-5078
Phone
(631) 414-7274
Fax
(631) 414-7273
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 165145 NY Primary

Addresses

Primary practice location

555 Broadhollow Rd
Suite #107
Melville, NY 11747-5078

Mailing address

50 Clarendon St
Dix Hills, NY 11746-6930
Phone (631) 414-7274

Other identifiers 1

IdentifierTypeStateIssuer
01713840MedicaidNY

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
I20110523000164 NY Practitioner - Psychiatry 6507042884 Reassigns benefits to 1 organization
Practice locations: Melville, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

555 Broadhollow Rd
Suite 107
Melville, NY 11747-5001
Phone (631) 414-7274

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Office of Mental Health CurrentSince May 5, 2011 Accepting new patients
Nys Office of Mental Health CurrentSince May 5, 2011 Accepting new patients

Locations

998 Crooked Hill Rd
West Brentwood, NY 11717
Phone (631) 306-5732

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1821056334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CLARENDON ST",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466930",
            "telephone_number": "631-414-7274",
            "fax_number": "631-414-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW RD",
            "address_2": "SUITE #107",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475078",
            "telephone_number": "631-414-7274",
            "fax_number": "631-414-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "DINESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "165145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01713840",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.