MICHAEL SUZZIVALLI
NPI 1194737973
Physician Assistant in Port Jefferson, NY
About Michael Suzzivalli NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL SUZZIVALLI (NPI 1194737973) is an individual physician assistant in Port Jefferson, New York, licensed in New York (008264) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Michael Suzzivalli 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
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 Suzzivalli's NPI number?
The NPI number for Michael Suzzivalli is 1194737973. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Michael Suzzivalli located?
Michael Suzzivalli practices at 635 Belle Terre Rd Suite #204, Port Jefferson, NY 11777. The listed phone number is (631) 474-0008.
What is Michael Suzzivalli's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Michael Suzzivalli enrolled in Medicare?
Yes. Michael Suzzivalli 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.
Is Michael Suzzivalli affiliated with any hospitals?
According to CMS data, Michael Suzzivalli is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Michael Suzzivalli was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Michael Suzzivalli · NPI 1194737973
Physician Assistant physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1194737973 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 008264 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 635 BELLE TERRE RD, SUITE #204, Port Jefferson, NY 11777-1935
- **Phone:** (631) 474-0008 · **Fax:** (631) 474-0224
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** January 27, 2010
- **Other identifiers:** Medicare UPIN Q29787
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Source: [NPI Profile](https://npiprofile.com/npi/1194737973) · Data from the CMS NPPES public registry.