KEVIN DAHLAN MD
NPI 1417536343
Ophthalmology - Retina Specialist in Stony Brook, NY

Q: What is Kevin Dahlan's NPI number?

The NPI number for Kevin Dahlan is 1417536343. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Kevin Dahlan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Dahlan was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 07, 2021PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-4090 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Apr 7, 2021 (2 updates tracked since 2021).

On this page

About Kevin Dahlan Md NPPES

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

KEVIN DAHLAN MD (NPI 1417536343) is an individual retina specialist in Stony Brook, New York, licensed in New York (336766) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ny Eye And Ear Infirmary Of Mount Sinai, and maintains a secondary practice location in Southampton.

NPPES Registry Identity

NPI1417536343

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameKEVIN DAHLANCredential: MD

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 444-4090

Phone(631) 444-4090

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2021

Enumeration DateApril 7, 2021

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1417536343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in NY · 336766

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 NICOLLS RD, Stony Brook, NY 11794

Open in Google Maps ↗

Secondary Practice Location 1

Location 1240 Meeting House LnSouthampton, NY 11968-5009 · Phone (631) 726-0409 ext. 122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Dahlan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890208763

PECOS Enrollment IDI20250702003708

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

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

Ny Eye And Ear Infirmary Of Mount Sinai

Acute Care Hospitals · New York, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number330100

Location230 Second AveNew York, NY 10003 · New York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

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.

NARINDER SINGH M.D.

Internal Medicine