Individual provider Active NPI

Satpal Singh Rathour, M.D

  • Psychiatry Physician
  • Shirley, NY
National Provider Identifier
1972834091
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
253470 Issued in NY
Practice address
1250 William Floyd Pkwy Ste 1a
Shirley, NY 11967-1809
Phone
(631) 913-3529
Fax
(631) 657-3273
NPI assigned
Jan 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 253470 NY
Psychiatry Physician 2084P0800X 253470 NY Primary

Addresses

Primary practice location

1250 William Floyd Pkwy Ste 1a
Shirley, NY 11967-1809

Mailing address

1250 William Floyd Pkwy
Shirley, NY 11967-1809
Phone (631) 913-3529

Other identifiers 2

IdentifierTypeStateIssuer
253470OtherNYLICENSE
03246848MedicaidNY

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
I20120125000468 NY Practitioner - Psychiatry 0244407674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satpal Rathour Medicine PCGroup PAC ID 0446427876, 2 clinicians

Practice addresses (Care Compare)

1250 William Floyd Pkwy
Shirley, NY 11967-1809
Phone (631) 913-3529

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Psychiatric Services, PC CurrentSince Dec 11, 2011 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Psychiatry CurrentSince Jan 1, 2013 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Jan 1, 2013 Accepting new patients
Satpal Rathour Medicine PC Specialist CurrentSince Oct 30, 2011 Accepting new patients
Forest Hills Psychiatric Services, P.C Specialist PastSince Feb 2, 1994 Accepting new patients

Locations

6920 Main St
Flushing, NY 11367
Phone (718) 263-8118

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

1250 William Floyd Pkwy
Ste 1A
Shirley, NY 11967
Phone (631) 913-3529

1250 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 913-3529

Organizations & group practices 6

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": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1972834091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WILLIAM FLOYD PKWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671809",
            "telephone_number": "631-913-3529",
            "fax_number": "631-657-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WILLIAM FLOYD PKWY STE 1A",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671809",
            "telephone_number": "631-913-3529",
            "fax_number": "631-657-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHOUR",
        "first_name": "SATPAL",
        "middle_name": "SINGH",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "253470",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "253470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "253470",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03246848",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

Verify at the official NPI Registry.