Kenneth Reed Shroyer, MD, PHD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

29153 Issued in CO

Practice address

BST9, Room 140, Department of Pathology
Stony Brook University Medical Center
Stony Brook, NY 11794-8691

Phone

(631) 444-3069

Fax

(631) 444-3424

NPI assigned

Jul 18, 2006

Last updated

Oct 24, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Pathology

Education

University of Colorado School of Medicine, Denver, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stony Brook Pathologists, University Faculty Practice CorporationGroup PAC ID 2163502162, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.shroyer@direct.stonybrookmedicine.edu

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.

• Stony Brook Pathologists, University Faculty Practice Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Stony Brook, NY
  • NPI 1912944794
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Hospital at Stony Brook

  dba Stony Brook Southampton Hospital

  • General Acute Care Hospital
  • Southampton, NY
  • NPI 1033224704
  Care Compare affiliation
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Southampton, NY
  • NPI 1225507114
  Care Compare affiliation
• University Hospital at Stony Brook

  • Land Ambulance
  • Stony Brook, NY
  • NPI 1306620588

  Hospital

  Care Compare affiliation
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Greenport, NY
  • NPI 1881690691
  Care Compare affiliation
• University Hospital at Stony Brook

  • Clinic/Center
  • Greenport, NY
  • NPI 1932466604

  Hospital

  Care Compare affiliation
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Stony Brook, NY
  • NPI 1972523348
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1902825557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BST9, ROOM 140, DEPARTMENT OF PATHOLOGY",
            "address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948691",
            "telephone_number": "631-444-3069",
            "fax_number": "631-444-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BST9, ROOM 140, DEPARTMENT OF PATHOLOGY",
            "address_2": "STONY BROOK UNIVERSITY MEDICAL CENTER",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948691",
            "telephone_number": "631-444-3069",
            "fax_number": "631-444-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "KENNETH",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "29153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Samuel Shinners, DO
• Nikita Shmyrin
• Asya Shor
• Elizabeth M Shortell, NURSE PRACTITIONER
• Gautam Anand Shrivastava, MD, MPH
• Karim Khaled Shuaib
• Manan Shukla
• Kyle S Shutkind, MD
• Awa Sidibe
• Maritza Sierra, PA-C

• Anatomic Pathology & Clinical Pathology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.