Individual provider Active NPI

Alan T. Kaell, M.D.

  • Specialist
  • Smithtown, NY
National Provider Identifier
1962498907
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
139331 Issued in NY
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

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01696395MedicaidNY

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

LicenseStateTypeSpecialty
139331NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jul 1, 1983 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.