Individual provider Active NPI

Olga Selioutski, DO

  • Neurology Physician
  • East Setauket, NY
National Provider Identifier
1992813703
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
241230 Issued in NY
Practice address
181 N Belle Mead Rd
East Setauket, NY 11733-3495
Phone
(631) 444-2599
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 241230 NY Primary

Addresses

Primary practice location

181 N Belle Mead Rd
East Setauket, NY 11733-3495

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-2599

Other identifiers 1

IdentifierTypeStateIssuer
02881432MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address oselioutski7290@direct.urmc.rochester.edu Direct
Direct Messaging Address oselioutski7290@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MS2 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
I20071101000256 NY Practitioner - Neurology 0941397335 Reassigns benefits to 8 organizations
I20221005002580 MS Practitioner - Neurology 0941397335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-0001
Phone (631) 444-2599

Lauterbur Dr
Stony Brook, NY 11794-0001
Phone (631) 638-1000

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
89.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241230NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital CurrentSince Jan 1, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 4, 2021 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Apr 15, 2017 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Neurology CurrentSince Dec 2, 2024 Accepting new patients
University of Rochester Current Accepting new patients
Reproductive Endocrinology Infertility GP of Univ of Roch Current Accepting new patients
Canton-Potsdam Hospital CurrentSince Feb 7, 2022 Accepting new patients
U of R Neurology Department Neurology CurrentSince Jan 1, 2011 Accepting new patients
University of Rochester CurrentSince Oct 2, 2011 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 7, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Feb 7, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 7, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 4, 2021 Accepting new patients
University of Rochester CurrentSince Oct 2, 2011 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Apr 15, 2017 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Geneva General Hospital, Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

73 Buffalo St
Ste 100
Canandaigua, NY 14424

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

196 North St
Geneva, NY 14456
Phone (315) 787-4156

4 Smith Haven Mall
Ste 105
Lake Grove, NY 11755

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

181 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 444-0624

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

100 Nicolls Rd
Rm 60
Stony Brook, NY 11794
Phone (631) 444-7653

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

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

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1992813703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N BELLE MEAD RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333495",
            "telephone_number": "631-444-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIOUTSKI",
        "first_name": "OLGA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "241230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02881432",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oselioutski7290@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oselioutski7290@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.