1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Pediatrics
  6. NPI Profile

RICHARD C ANCONA MD
NPI 1275590697
Pediatrics in Smithtown, NY

Active since April 28, 2006PECOS Enrolled
300 E MAIN ST, SUITE 5, SMITHTOWN, NY 11787(631) 979-6466(631) 979-6475 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Richard C Ancona Md NPPES

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

RICHARD C ANCONA MD (NPI 1275590697) is an individual pediatrics provider in Smithtown, New York, licensed in New York (135693) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275590697
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRICHARD C ANCONACredential: MD
Location Address300 E MAIN ST, SUITE 5Smithtown, NY 11787-2900
Mailing Address300 E Main St, Suite 5Smithtown, NY 11787-2900 · (631) 979-6466 · Fax (631) 979-6475
Phone(631) 979-6466
Fax(631) 979-6475
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1275590697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 135693
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 135693 (NY)
300 E MAIN ST, Smithtown, NY 11787
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard C Ancona Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Richard Ancona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Children's Health Physicians, LLP
36 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$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.

Other Providers at the Same Location NPPES 17

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

MRS. YVONNE A MUDARO MA,CCC-A
Audiologist
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 265-3727
JUDITH MURPHY NP
Nurse Practitioner (Pediatrics)
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
DR. MARY ANN FLYNN GAMENG MD
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
SULTAN MOHIUDDIN, MD
Surgery (Vascular Surgery)
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 979-0212
MISS VANESSA FORBES AUD
Audiologist
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 656-6545
MICHAEL ROBERT STERN MD, FAAP
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
SULTAN MOHIUDDIN MD PC
Specialist
300 E MAIN ST, SUITE 2
SMITHTOWN, NY 11787
Suffolk County (631) 979-0212
MARIA J MINEO MD
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466

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 Richard Ancona's NPI number?

The NPI number for Richard Ancona is 1275590697. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Richard Ancona located?

Richard Ancona practices at 300 E Main St Suite 5, Smithtown, NY 11787. The listed phone number is (631) 979-6466.

What is Richard Ancona's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Richard Ancona enrolled in Medicare?

Yes. Richard Ancona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Ancona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Ancona reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, 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 Richard Ancona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Richard Ancona was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.