Individual provider Active NPI

Joseph M Duva, MD

  • Gastroenterology Physician
  • Riverhead, NY
National Provider Identifier
1992817977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
139327 Issued in NY
Practice address
887 Old Country Rd
Suite a
Riverhead, NY 11901-2115
Phone
(631) 727-6122
Fax
(631) 727-2672
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 139327 NY Primary

Addresses

Primary practice location

887 Old Country Rd
Suite a
Riverhead, NY 11901-2115

Mailing address

887 Old Country Rd
Suite a
Riverhead, NY 11901-2115
Phone (631) 727-6122

Other identifiers 1

IdentifierTypeStateIssuer
00793375MedicaidNY

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
I20091014000413 NY Practitioner - Gastroenterology 8921144403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Icahn School of Medicine at Mount Sinai, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joseph M. Duva MD PCGroup PAC ID 9436295912, 2 clinicians

Practice addresses (Care Compare)

887 Old Country Rd
A
Riverhead, NY 11901-2115
Phone (631) 727-6122

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Peconic Bay Medical Center Hospital, Riverhead, NY, CCN 330107

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
86.94
Improvement activities
40
Cost
85.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy404
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139327NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph M. Duva MD PC Gastroenterology CurrentSince Aug 6, 2009 Accepting new patients

Locations

887 Old Country Rd
Ste A
Riverhead, NY 11901
Phone (631) 369-7660

36 Osprey Ave
Riverhead, NY 11901
Phone (631) 574-8660

887 Old Country Rd
Riverhead, NY 11901
Phone 63136077784375

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992817977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-6122",
            "fax_number": "631-727-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 OLD COUNTRY RD",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012115",
            "telephone_number": "631-727-6122",
            "fax_number": "631-727-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVA",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "139327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00793375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.