Individual provider Active NPI

Pedro Ramiro Segarra, MD

  • Obstetrics & Gynecology Physician
  • Southampton, NY
National Provider Identifier
1871598847
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
162095 Issued in NY
Practice address
595 Hampton Rd
Southampton, NY 11968-3004
Phone
(631) 283-0918
Fax
(631) 287-4047
NPI assigned
Jun 16, 2005
Reactivated
Oct 18, 2006
Last updated
May 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 162095 NY Primary

Addresses

Primary practice location

595 Hampton Rd
Southampton, NY 11968-3004

Mailing address

595 Hampton Rd
Southampton, NY 11968-3004
Phone (631) 283-0918

Other identifiers 9

IdentifierTypeStateIssuer
4235497OtherNYAETNA PPO#
97D893OtherNYEMPIRE BCBS# (JACKSON HEIGHTS)
0C1483OtherNYHEALTHNET#
160019050OtherNYRAILROAD MEDICARE#
742C31OtherNYEMPIRE BC/BS# (NY)
0042944OtherNYGHI PPO#
DP530OtherNYOXFORD#
2125953OtherNYAETNA HMO#
162095OtherNYHIP#

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pedro.segarra@sbcm.cernerdirect.com
Direct Messaging Address pedro.segarra@sbcm.cernerdirect.com

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
I20041123001310 NY Practitioner - Obstetrics/Gynecology 4688639180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-4686

Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162095NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Associates in Obstetrics & Gynecology, University Faculty P Obstetrics & Gynecology CurrentSince Mar 6, 2017 Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Mar 17, 2014 Accepting new patients
University Hospital at Stony Brook Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144

74 Commerce Ave
Ste 1
Riverhead, NY 11901
Phone (531) 405-0898

595 Hampton Rd
Southampton, NY 11968
Phone (516) 283-0918

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1871598847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 HAMPTON RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683004",
            "telephone_number": "631-283-0918",
            "fax_number": "631-702-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HAMPTON RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683004",
            "telephone_number": "631-283-0918",
            "fax_number": "631-287-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARRA",
        "first_name": "PEDRO",
        "middle_name": "RAMIRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "deactivation_date": "2005-11-18",
        "reactivation_date": "2006-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "162095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO#",
            "identifier": "4235497",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS# (JACKSON HEIGHTS)",
            "identifier": "97D893",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET#",
            "identifier": "0C1483",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE#",
            "identifier": "160019050",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS# (NY)",
            "identifier": "742C31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO#",
            "identifier": "0042944",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD#",
            "identifier": "DP530",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO#",
            "identifier": "2125953",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP#",
            "identifier": "162095",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pedro.segarra@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "595 Hampton Rd",
            "city": "Southampton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119683004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pedro.segarra@sbcm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "595 Hampton Rd",
            "city": "Southampton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119683004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.