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SAN SAN WYNN M.D.
NPI 1083687289
Internal Medicine - Hematology & Oncology in Roslyn, NY

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
56 HAMILTON DR, ROSLYN, NY 11576(718) 498-5754(718) 498-0950 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About San San Wynn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN SAN WYNN M.D. (NPI 1083687289) is an individual hematology & oncology provider in Roslyn, New York, licensed in New York (220806) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1083687289
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSAN SAN WYNNCredential: M.D.
Location Address56 HAMILTON DRRoslyn, NY 11576-3129
Mailing Address723 E 87th StBrooklyn, NY 11236-3620 · (718) 498-5754 · Fax (718) 498-0950
Phone(718) 498-5754
Fax(718) 498-0950
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateFebruary 8, 2006
Last NPPES UpdateApril 9, 2014
✔ NPI 1083687289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 220806
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 220806 (NY)
56 HAMILTON DR, Roslyn, NY 11576
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Other Identifiers 3

Medicaid01864988NY
Medicare UPING70910NY
Medicare ID-Type Unspecified35N33NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

San San Wynn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638060007
PECOS Enrollment IDI20040324000126
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show San San Wynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore Hematology Oncology Associates PC
33 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
138 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11576 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%38 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San San Wynn's NPI number?

The NPI number for San San Wynn is 1083687289. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is San San Wynn located?

San San Wynn practices at 56 Hamilton Dr, Roslyn, NY 11576. The listed phone number is (718) 498-5754.

What is San San Wynn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is San San Wynn enrolled in Medicare?

Yes. San San Wynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for San San Wynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), San San Wynn reassigns Medicare benefits to North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for San San Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is San San Wynn affiliated with any hospitals?

According to CMS data, San San Wynn is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for San San Wynn was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.