ALAN MARK GANDOLFI MD
NPI 1497769541
Emergency Medicine in Southampton, NY
About Alan Mark Gandolfi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALAN MARK GANDOLFI MD (NPI 1497769541) is an individual emergency medicine provider in Southampton, New York, licensed in New York (149282) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alan Mark Gandolfi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alan Gandolfi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southampton, NY 11968
- Reassigned Medicare billing, New York enrollment
- 134 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11968 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHAMPTON, NY 11968
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 Alan Gandolfi's NPI number?
The NPI number for Alan Gandolfi is 1497769541. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Alan Gandolfi located?
Alan Gandolfi practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-8420.
What is Alan Gandolfi's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Alan Gandolfi enrolled in Medicare?
Yes. Alan Gandolfi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alan Gandolfi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alan Gandolfi reassigns Medicare benefits to Meeting House Lane Medical Practice PC (Southampton, 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 Alan Gandolfi'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 Alan Gandolfi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Alan Mark Gandolfi, MD · NPI 1497769541
Emergency Medicine physician in Southampton, New York. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1497769541 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 149282 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 240 MEETING HOUSE LN, Southampton, NY 11968-5009
- **Phone:** (631) 726-8420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Meeting House Lane Medical Practice PC (NPI 1902088495, Southampton, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 86A092; Medicare UPIN B19704
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Source: [NPI Profile](https://npiprofile.com/npi/1497769541) · Data from the CMS NPPES public registry.