Individual provider Active NPI

Stefan John Mlot, M.D.

  • Otolaryngology Physician
  • White Plains, NY
National Provider Identifier
1962726760
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
283826 Issued in NY
Practice address
222 Bloomingdale Rd FL 2
White Plains, NY 10605-1513
Phone
(914) 949-3888
Fax
(914) 949-1271
NPI assigned
Mar 23, 2010
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 283826 NY Primary

Addresses

Primary practice location

222 Bloomingdale Rd FL 2
White Plains, NY 10605-1513

Mailing address

660 White Plains Rd Ste 400
Tarrytown, NY 10591-5107
Phone (914) 984-2546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161109001414 NY Practitioner - Otolaryngology 7416264601 Reassigns benefits to 2 organizations
I20180813002417 OR Practitioner - Otolaryngology 7416264601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

101 Broadway
Apt 201
Brooklyn, NY 11249-6297
Phone (718) 484-6120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283826NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 23, 2018 Accepting new patients
University Physicians of Brooklyn, Inc. Otolaryngology CurrentSince Oct 14, 2016 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Sep 1, 2019 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Oct 14, 2016 Accepting new patients
University of Miami Past Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Otolaryngology Past Accepting new patients

Locations

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#126
Brooklyn, NY 11203
Phone (718) 270-1638

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

660 White Plains Rd
Ste 400
Tarrytown, NY 10591
Phone (914) 333-5800

222 Bloomingdale Rd
Fl 2
White Plains, NY 10605
Phone (914) 949-3888

222 Bloomingdale Rd
Ste 205
White Plains, NY 10605

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

7101 NE 137th Ave
Ofc
Vancouver, WA 98682
Phone (360) 944-4802

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stefan.mlot.1@438.direct.athenahealth.com
  • Direct secure messaging: stefan.mlot@direct.entandallergy.nextgenshare.com

Organizations & group practices 7

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 4

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1962726760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 400",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915107",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BLOOMINGDALE RD FL 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051513",
            "telephone_number": "914-949-3888",
            "fax_number": "914-949-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLOT",
        "first_name": "STEFAN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "283826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.