Ann Arackal, D.O.
Individual provider Active NPI Family Medicine Physician · West Islip, NY
NPI 1962852129 · NPPES record last updated Apr 16, 2018
Key facts
- NPI
- 1962852129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 274346434 (NY)
- Practice address
- 1000 Montauk Hwy
West Islip, NY 11795-4927 - Phone
- (631) 376-3000
- NPI assigned
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- CHS Physician Partners PC
Practice addresses (Care Compare)
2500 Nesconset Hwy
BLDG 7D
Stony Brook, NY 11790-2566
Phone (631) 751-3322
Hospital & facility affiliations
- Catholic Home Care
- St Charles Hospital
- John T Mather Memorial Hospital of Port Jefferson
- Good Samaritan Hospital Medical Center
- Suny/Stony Brook University Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190919001068 | NY | Practitioner - Internal Medicine | 6002152550 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274346434 | NY | MD | Family Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Family Medicine | Current |
Accepting new patients |
| CHS Physician Partners, P.C | Current |
Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients |
Locations
179 N Belle Mead Rd
East Setauket, NY 11733
Phone (631) 444-1970
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
2500 Nesconset Hwy
Bldg 7D
Stony Brook, NY 11790
Phone (631) 751-3322
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- aarackal63037@direct-chsli.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 274346434 | NY | Yes |
Addresses
Primary practice location
1000 Montauk Hwy
West Islip, NY 11795-4927
Mailing address
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000
Other providers in West Islip, NY
- Anthony Capizzi, MD, PC
- Athanasios Antoniadis
- Joseph Mario Anzalone
- Jennifer Aprigliano
- Alexandria Alyssa Apuzzo
- Nancy Argento
- Arnbjorn Wollebaek Toset MD PC
- Abenamar Arrillaga
- Joseph Umberto Artale
- Frank G Arthus
All providers in West Islip, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.