Individual provider Active NPI

Martin John Szafran, M.D.

  • Anesthesiology Physician
  • Stony Brook, NY
National Provider Identifier
1881915890
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036.125143 Issued in IL
Practice address
Stony Brook Anaesthesiology Ufpc 100 Nicolls Rd
HSC Level 4, #060
Stony Brook, NY 11794-8480
Phone
(631) 444-2975
Fax
(631) 444-2907
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036.125143 IL Primary

Addresses

Primary practice location

Stony Brook Anaesthesiology Ufpc 100 Nicolls Rd
HSC Level 4, #060
Stony Brook, NY 11794-8480

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20110104000509 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4183813397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
University of Chicago, Pritzker School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Valley Anesthesiologists LTDGroup PAC ID 6305747890, 62 clinicians

Practice addresses (Care Compare)

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.125143ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Valley Anesthesiologists, LTD. Anesthesiology CurrentSince Dec 11, 2018 Accepting new patients
Chicago Area Partners in Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1881915890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK ANAESTHESIOLOGY UFPC 100 NICOLLS RD",
            "address_2": "HSC LEVEL 4, #060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2975",
            "fax_number": "631-444-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAFRAN",
        "first_name": "MARTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.125143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.