Individual provider Active NPI

Mitchell I Weinstein, D.O.

  • Gastroenterology Physician
  • West Islip, NY
National Provider Identifier
1942292206
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
162637 Issued in NY
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

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01416811MedicaidNY

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
I20061221000449 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 9830199850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Gastroenterology Consultants PCGroup PAC ID 8921999079, 13 clinicians

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 Hospital, Bay Shore, NY, CCN 330043
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
22.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162637NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Gastroenterology Consultants PC CurrentSince Sep 1, 2022 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.