KARLA BRANTUK PA
NPI 1255389250
Physician Assistant in Riverhead, NY

Q: What is Karla Brantuk's NPI number?

The NPI number for Karla Brantuk is 1255389250. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Karla Brantuk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Karla Brantuk was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

951 ROANOKE AVE, RIVERHEAD, NY 11901(631) 369-5005(631) 369-4994 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2017, Dec 12, 2016 (2 updates tracked since 2016).

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About Karla Brantuk Pa NPPES

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

KARLA BRANTUK PA (NPI 1255389250) is an individual physician assistant in Riverhead, New York, licensed in New York (009559) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2003).

NPPES Registry Identity

NPI1255389250

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKARLA BRANTUKCredential: PA

Location Address951 ROANOKE AVERiverhead, NY 11901-2724

Mailing Address951 Roanoke AveRiverhead, NY 11901-2724 · (631) 369-5005 · Fax (631) 369-4994

Phone(631) 369-5005

Fax(631) 369-4994

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2003

Enumeration DateMay 4, 2006

Last NPPES UpdateFebruary 7, 20172 updates tracked since enumeration

✔ NPI 1255389250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 009559

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

951 ROANOKE AVE, Riverhead, NY 11901

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Other Identifiers 2

Medicare UPINQ11048

Medicaid02517375NY

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

Karla Brantuk Pa 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 ID1759379712

PECOS Enrollment IDI20040511000698

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.

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330043

Location301 East Main StreetBay Shore, NY 11706 · Suffolk County

Emergency services Birthing friendly

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330107

Location1 Heros WayRiverhead, NY 11901 · Suffolk County

Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11901 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. RAMESHCHANDRA DABHI MD

Internal Medicine (Cardiovascular Disease)