STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
NPI 1366497448
Radiology - Diagnostic Radiology in Stony Brook, NY

Active since May 24, 2006
SUNY AT STONY BRK, HSC, L4, RM 120, STONY BROOK, NY 11794(631) 444-3452 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stony Brook Radiology, University Faculty Practice Corporation NPPES

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

STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION (NPI 1366497448) is a healthcare organization registered as a diagnostic radiology in Stony Brook, New York and active in the NPI registry since May 2006. The organization lists Elaine S Gould, Chair Person, as its authorized official.

NPPES Registry Identity

NPI1366497448
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSTONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
Location AddressSUNY AT STONY BRK, HSC, L4, RM 120Stony Brook, NY 11794-8460
Mailing AddressPo Box 1554Stony Brook, NY 11790-0988 · (631) 444-3452
Organization SubpartNo
Authorized OfficialElaine S GouldChair Person · (631) 444-3452
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1366497448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
SUNY AT STONY BRK, Stony Brook, NY 11794

Other Identifiers 1

Medicaid00549133NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stony Brook Radiology, University Faculty Practice Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Stony Brook Radiology, University Faculty Practice Corporation, which bills Medicare for the services they deliver. Of these, 52 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Diagnostic Radiology53
Interventional Radiology8
Cardiovascular Disease (Cardiology)3
Nuclear Medicine2
Nurse Practitioner1
Pediatric Medicine1

Nearest to this location (20)

See all 68
Diagnostic Radiology
NPI 1174781322
STONY BROOK UNIVERSITY HOSPITAL DEPT OF RADIOLOGY
Stony Brook, NY 11794
(631) 444-2484
✔ PECOS✔ Accepts Medicare0.3 mi
Diagnostic Radiology
NPI 1588196935
HSC LEVEL 4, ROOM 120 101 NICOLLS ROAD
Stony Brook, NY 11794
(631) 638-2121
✔ PECOS✔ Accepts Medicare1.1 mi
Diagnostic Radiology
NPI 1568408599
HSC LEVEL 4 ROOM 120
Stony Brook, NY 11794
(631) 444-5400
✔ PECOS✔ Accepts Medicare1.3 mi
Diagnostic Radiology
NPI 1548323652
HSC LEVEL 4, ROOM 120
Stony Brook, NY 11794
(631) 444-5400
✔ PECOS✔ Accepts Medicare1.3 mi
Diagnostic Radiology
NPI 1053639484
HSC LEVEL 4 RM 120 DEPARTMENT OF RADIOLOGY
Stony Brook, NY 11794
(631) 444-5400
✔ PECOS✔ Accepts Medicare1.3 mi
Diagnostic Radiology
NPI 1659375582
HSC LEVEL 4 RM 120
Stony Brook, NY 11794
(631) 444-7955
✔ PECOS✔ Accepts Medicare1.3 mi
Diagnostic Radiology
NPI 1821034547
UNIVERSITY HOSPITAL, L4
Stony Brook, NY 11794
(631) 444-6919
✔ PECOS✔ Accepts Medicare1.3 mi
Diagnostic Radiology
NPI 1649207465
UNIVERSITY HOSPITAL, L4
Stony Brook, NY 11794
(631) 444-6919
✔ PECOS✔ Accepts Medicare1.3 mi
Interventional Radiology
NPI 1376633313
HSC LEVEL 4 ROOM 120
Stony Brook, NY 11794
(631) 444-5400
✔ PECOS✔ Accepts Medicare1.3 mi
Nuclear Medicine
NPI 1992740872
UNIVERSITY HOSPITAL, L4
Stony Brook, NY 11794
(631) 444-6919
✔ PECOS✔ Accepts Medicare1.4 mi
Interventional Radiology
NPI 1841513645
100 NICOLLS ROAD HSC LEVEL 4; ROOM 120
Stony Brook, NY 11794
(631) 444-5400
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1972021582
100 NICOLLS RD HSC LEVEL 4 ROOM 120 HSC LEVEL 4 ROOM 120
Stony Brook, NY 11790
(631) 444-5400
✔ PECOS1.7 mi
Interventional Radiology
NPI 1881620755
UNIVERSITY HOSPITAL AT STONY BROOK
Stony Brook, NY 11794
(631) 444-6919
✔ PECOS✔ Accepts Medicare1.9 mi
Interventional Radiology
NPI 1962898262
101 NICOLLS RD
Stony Brook, NY 11794
(631) 444-1022
✔ PECOS✔ Accepts Medicare1.9 mi
Interventional Radiology
NPI 1720221369
101 NICOLLS ROAD, DEPARTMENT OF RADIOLOGY HSC LEVEL 4, ROOM 120
Stony Brook, NY 11794
(631) 444-7955
✔ PECOS✔ Accepts Medicare1.9 mi
Pediatric Medicine
NPI 1356683437
STONY BROOK UNIVERSITY HOSPITAL DEPARTMENT OF PEDIATRICS HSC T-11 / 040
Stony Brook, NY 11794
(631) 444-2020
✔ PECOS✔ Accepts Medicare2.7 mi
Interventional Radiology
NPI 1124448741
STONY BROOK UNIVERSITY HOSPITAL 101 NICHOLS ROAD
Stony Brook, NY 11794
(631) 444-1791
✔ PECOS✔ Accepts Medicare2.7 mi
Cardiovascular Disease (Cardiology)
NPI 1225247562
45 RESEARCH WAY SUITE 208
East Setauket, NY 11733
(631) 941-2000
✔ PECOS✔ Accepts Medicare3.3 mi
Cardiovascular Disease (Cardiology)
NPI 1093878399
45 RESEARCH WAY SUITE 008 & 108
East Setauket, NY 11733
(631) 941-2704
✔ PECOS✔ Accepts Medicare3.3 mi
Interventional Radiology
NPI 1437355047
2350 NESCONSET HWY STE B
Stony Brook, NY 11790
(631) 364-0553
✔ PECOS✔ Accepts Medicare3.5 mi
See all 68 clinicians

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

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 Stony Brook Radiology, University Faculty Practice Corporation's NPI number?

The NPI number for Stony Brook Radiology, University Faculty Practice Corporation is 1366497448. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Stony Brook Radiology, University Faculty Practice Corporation located?

Stony Brook Radiology, University Faculty Practice Corporation is located at Suny At Stony Brk Hsc, L4, Rm 120, Stony Brook, NY 11794. The listed phone number is (631) 444-3452.

What is Stony Brook Radiology, University Faculty Practice Corporation's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Stony Brook Radiology, University Faculty Practice Corporation enrolled in Medicare?

Yes. Stony Brook Radiology, University Faculty Practice Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stony Brook Radiology, University Faculty Practice Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 6 Medicare specialties reassign their Medicare billing to Stony Brook Radiology, University Faculty Practice Corporation. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (53), Interventional Radiology (8) and Cardiovascular Disease (Cardiology) (3). Of these, 52 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stony Brook Radiology, University Faculty Practice Corporation was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.