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DR. MICHAEL PROOTHI DMD, MD
NPI 1124279856
Oral & Maxillofacial Surgery in Stony Brook, NY

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
207 HALLOCK RD STE 2, STONY BROOK, NY 11790(631) 675-9601(631) 675-9602 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Proothi Dmd, Md NPPES

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

DR. MICHAEL PROOTHI DMD, MD (NPI 1124279856) is an individual oral & maxillofacial surgery provider in Stony Brook, New York, licensed in New York (260012) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124279856
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MICHAEL PROOTHICredential: DMD, MD
Location Address207 HALLOCK RD STE 2Stony Brook, NY 11790-3072
Mailing Address207 Hallock Rd Ste 2Stony Brook, NY 11790-3072 · (631) 675-9601 · Fax (631) 675-9602
Phone(631) 675-9601
Fax(631) 675-9602
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 30, 2008
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1124279856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in NY · 260012✔ Licensed in NY · 051735
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
207 HALLOCK RD STE 2, Stony Brook, NY 11790
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Proothi Dmd, Md 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 ID5496879355
PECOS Enrollment IDI20100830000072
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.

Areas of Expertise CMS Part B claims 6

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.

X-ray of face bones, 1-2 views 70140
An X-ray of face bones, with 1-2 views, is a simple, quick imaging test. It uses a small amount of radiation to produce images of the bones in your face. This test can help detect fractures, infections, or other abnormalities. It's painless and non-invasive.
123 services108 patients
Imaging of jaws and skull 70350
Imaging of jaws and skull involves taking detailed pictures of these areas to help diagnose and treat various conditions. This can include X-rays, CT scans, or MRI scans. These images allow doctors to view the bone structure, tissues, and any abnormalities present. It's a safe and painless process.
122 services109 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
122 services109 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.
108 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services70 patients
Impression and custom preparation of oral surgical splint 21085
An oral surgical splint is a device designed to protect your mouth, align your jaw, or aid in healing after surgery. The process involves taking an impression of your teeth to create a splint that fits perfectly. This custom-made device ensures comfort and effectiveness.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS JOHN MONTANARO DDS, MD
Oral & Maxillofacial Surgery
207 HALLOCK RD STE 2
STONY BROOK, NY 11790
Suffolk County (631) 675-9601

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 Michael Proothi's NPI number?

The NPI number for Michael Proothi is 1124279856. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Michael Proothi located?

Michael Proothi practices at 207 Hallock Rd Ste 2, Stony Brook, NY 11790. The listed phone number is (631) 675-9601.

What is Michael Proothi's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Michael Proothi enrolled in Medicare?

Yes. Michael Proothi 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.

What insurance does Michael Proothi accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Michael Proothi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Proothi affiliated with any hospitals?

According to CMS data, Michael Proothi is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Proothi was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.