Individual provider Active NPI

Craig William Scannevin, M.D.

  • Anesthesiology Physician
  • East Patchogue, NY
National Provider Identifier
1891732426
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
239635 Issued in NY
Practice address
250 Patchogue Yaphank Rd
Suite 3
East Patchogue, NY 11772-4800
Phone
(631) 475-7680
Fax
(631) 475-7683
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 239635 NY Primary

Addresses

Primary practice location

250 Patchogue Yaphank Rd
Suite 3
East Patchogue, NY 11772-4800

Mailing address

43 Bayview Ave
Blue Point, NY 11715-1710
Phone (631) 803-2956

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
I20061011000509 NY Practitioner - Anesthesiology 8123024338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

530 1St Ave
New York, NY 10016-6402

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-6037

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239635NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
New York University CurrentSince Feb 1, 2024 Accepting new patients
Long Island Anesthesia Physicians LLP Anesthesiology CurrentSince Dec 8, 2021 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Brookhaven Gastroenterology Associates, P.C. Past Accepting new patients

Locations

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFBACA
  • Direct secure messaging: cscannevin504392@nyumc.direct-ci.com

Organizations & group practices 5

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 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1891732426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BAYVIEW AVE",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151710",
            "telephone_number": "631-803-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PATCHOGUE YAPHANK RD",
            "address_2": "SUITE 3",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724800",
            "telephone_number": "631-475-7680",
            "fax_number": "631-475-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANNEVIN",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "239635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.