Active NPI
Mitchell I Weinstein, D.O.
- Gastroenterology Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 162637
- Practice address
- 631 Montauk Hwy Ste 2
West Islip, NY 11795-4400 - Phone
- (631) 321-3840
- Fax
- (631) 321-3842
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 162637 | NY | Primary |
Addresses
Primary practice location
631 Montauk Hwy Ste 2
West Islip, NY 11795-4400
Mailing address
631 Montauk Hwy Ste 2
West Islip, NY 11795-4400
Phone (631) 321-3840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01416811 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061221000449 | NY | Practitioner - Internal Medicine | 9830199850 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Montauk Hwy
Suite 3
West Islip, NY 11795-4910
Phone (631) 669-1171
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
- Good Samaritan Hospital Medical Center
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.42 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 74.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 113 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 89 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162637 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Gastroenterology Consultants PC | Current | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients | |
| County of Suffolk | Past | Accepting new patients |
Locations
1145 Montauk Hwy
West Islip, NY 11795
Phone (631) 321-0033
1111 Montauk Hwy
#3
West Islip, NY 11795
Phone (631) 669-1171
1111 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 669-1171
1111 Montauk Hwy
Ste 32
West Islip, NY 11795
Organizations & group practices 3
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.
-
- Methadone Clinic
- Smithtown, NY
- NPI 1649374851
-
- Clinic/Center
- Brentwood, NY
- NPI 1851321152
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1942292206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 MONTAUK HWY STE 2",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954400",
"telephone_number": "631-321-3840",
"fax_number": "631-321-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 MONTAUK HWY STE 2",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954400",
"telephone_number": "631-321-3840",
"fax_number": "631-321-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTEIN",
"first_name": "MITCHELL",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "162637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01416811",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
- Way F Lee M.D. PC
- Brian J Webber, D.O.
- Sarah Ann Wehle, MS PA-C, MS RDN
- Aron Weinberg
- Ephram Philip Weingarten, MD
- Elizabeth Francesca Weisman, DO
- Brittany Morgan Weissman, PA-C
- West Islip Chiropractic, Physical Therapy, Acupuncture, and Adult Health NP, PLLC
- West Islip Fire District
- West Islip Foot Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.