ELIJAH SE HONG MIN M.D.
NPI 1265745376
Surgery in Riverhead, NY
About Elijah Se Hong Min M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIJAH SE HONG MIN M.D. (NPI 1265745376) is an individual surgery provider in Riverhead, New York, licensed in New York (284575) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Elijah Se Hong Min 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.
Medicare Billing Reassignments
2Medicare enrollment records show Elijah Min reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
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 10
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peconic Bay Medical Center
Acute Care Hospitals · Riverhead, NYSuny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician 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.
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
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 Elijah Min's NPI number?
The NPI number for Elijah Min is 1265745376. It was assigned to this individual provider in the NPPES registry on July 17, 2010.
Where is Elijah Min located?
Elijah Min practices at 31 Main Rd Ste 2, Riverhead, NY 11901. The listed phone number is (631) 369-8539.
What is Elijah Min's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Elijah Min enrolled in Medicare?
Yes. Elijah Min 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 organizations bill Medicare for Elijah Min's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elijah Min reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and New York University (Boynton Beach, FL). Each 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 Elijah Min's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elijah Min affiliated with any hospitals?
According to CMS data, Elijah Min is affiliated with Peconic Bay Medical Center and Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Elijah Min was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Elijah Se Hong Min, M.D. · NPI 1265745376
Surgery physician in Riverhead, New York. Individual provider, active in the CMS NPPES registry since July 17, 2010.
## Identity
- **NPI:** 1265745376 (Entity type: Individual)
- **Enumerated:** July 17, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 284575 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 31 MAIN RD STE 2, Riverhead, NY 11901-1953
- **Phone:** (631) 369-8539
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1265745376) · Data from the CMS NPPES public registry.