NPIMap

Individual provider Active NPI

Sumeet K Anand, MD

  • Internal Medicine Physician
  • West Islip, NY
National Provider Identifier
1902896764
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60229976 Issued in NY
Practice address
1111 Montauk Hwy Ste 2-4
West Islip, NY 11795-4910
Phone
(631) 647-9100
Fax
(631) 647-9099
NPI assigned
Oct 24, 2005
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60229976 NY Primary

Addresses

Primary practice location

1111 Montauk Hwy Ste 2-4
West Islip, NY 11795-4910

Mailing address

PO Box 249
Brightwaters, NY 11718-0249
Phone (631) 647-9100

Other identifiers 2

IdentifierTypeStateIssuer
02369650MedicaidNY
7130R1OtherEMPIRE BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317001139 NY Practitioner - Internal Medicine 4385699750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1111 Montauk Hwy
Suite 2 4
West Islip, NY 11795-4910
Phone (631) 647-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60229976NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sumeet K. Anand M.D., P.C Internal Medicine CurrentSince Dec 29, 2012 Accepting new patients
Staten Island Hospitalists, PC Internal Medicine Past Accepting new patients
SJ Surgery of Ny, PC PastSince Dec 29, 2012 Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients

Locations

1111 Montauk Hwy
Ste 22
West Islip, NY 11795
Phone (631) 376-4242

1111 Montauk Hwy
Ste 24
West Islip, NY 11795
Phone (631) 334-4586

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIIBA

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

Hospital & facility affiliations 5

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1902896764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117180249",
            "telephone_number": "631-647-9100",
            "fax_number": "631-647-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY STE 2-4",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-647-9100",
            "fax_number": "631-647-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAND",
        "first_name": "SUMEET",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60229976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02369650",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "7130R1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.