Active NPI
Alan T. Kaell, M.D.
- Specialist
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 139331
- Practice address
- 315 Middle Country Rd
Smithtown, NY 11787-2817 - Phone
- (631) 360-7778
- Fax
- (631) 979-1609
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 139331 | NY | Primary |
Addresses
Primary practice location
315 Middle Country Rd
Smithtown, NY 11787-2817
Mailing address
315 Middle Country Rd
Smithtown, NY 11787-2817
Phone (631) 360-3796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01696395 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139331 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatology Associates of L.I., LLP | Specialist | Current | Accepting new patients |
| Rheumatology Associates of L.I., LLP | Specialist | Past | Accepting new patients |
| Rheumatology Associates of Long Island, LLP | Specialist | Past | Accepting new patients |
Locations
1895 Walt Whitman Rd
Melville, NY 11747
Phone (631) 249-9525
7 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 574-8770
554 E Main St
Riverhead, NY 11901
Phone (631) 360-7778
315 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 360-7778
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Specialist
- Smithtown, NY
- NPI 1689660573
-
- Specialist
- Port Jefferson Sta, NY
- NPI 1972772614
-
- Specialist
- Melville, NY
- NPI 1457520140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1962498907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MIDDLE COUNTRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872817",
"telephone_number": "631-360-3796",
"fax_number": "631-360-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MIDDLE COUNTRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872817",
"telephone_number": "631-360-7778",
"fax_number": "631-979-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAELL",
"first_name": "ALAN",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "139331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01696395",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.