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ISMAIL OZCAN MD PC
NPI 1518082080
Family Medicine in Lake Ronkonkoma, NY

Active since March 21, 2007CLIA 33D1064227 · Waiver
95 CHURCH ST, LAKE RONKONKOMA, NY 11779(631) 588-6665(631) 580-5543 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ismail Ozcan Md Pc NPPES

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

ISMAIL OZCAN MD PC (NPI 1518082080) is a healthcare organization registered as a family medicine in Lake Ronkonkoma, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Ismail Ozcan, Owner, as its authorized official.

NPPES Registry Identity

NPI1518082080
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameISMAIL OZCAN MD PC
Location Address95 CHURCH STLake Ronkonkoma, NY 11779-4159
Mailing Address95 Church StLake Ronkonkoma, NY 11779-4159 · (631) 588-6665 · Fax (631) 580-5543
Phone(631) 588-6665
Fax(631) 580-5543
Organization SubpartNo
Authorized OfficialIsmail OzcanOwner · (631) 588-6665
Enumeration DateMarch 21, 2007
Last NPPES UpdateMarch 10, 2008
✔ NPI 1518082080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 242241
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
95 CHURCH ST, Lake Ronkonkoma, NY 11779
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Other Identifiers 2

Medicare UPINWWP731NY
Medicare UPIN3353Q1NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Ismail Ozcan Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ismail Ozcan MD PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Gerard Cusa, M.D.
Gastroenterology
NPI 1619017910
400 S OYSTER BAY RD SUITE 302
Hicksville, NY 11801
(516) 939-0164
✔ PECOS21 mi
Ismail Ozcan, M.D.
Family Practice
NPI 1932271509
2762 MILBURN AVE
Baldwin, NY 11510
(516) 705-4114
✔ PECOS✔ Accepts Medicare29 mi
Parnian Kiamanesh, M.D.
Family Practice
NPI 1598052946
110 COMMERCE DR
Shelton, CT 06484
(203) 929-7331
✔ PECOS✔ Accepts Medicare32 mi
Bahtiyar Toz
Rheumatology
NPI 1528697141
82-68 164TH STREET QUEENS HOSPITAL CENTER
Jamaica, NY 11432
(718) 883-4080
✔ PECOS37 mi
Tarek Mousa, MD, PHD
Internal Medicine
NPI 1013177757
2427 STEINWAY ST
Astoria, NY 11103
(929) 208-0080
✔ PECOS✔ Accepts Medicare42 mi
Erdal Gursoy, MD, PHD
Internal Medicine
NPI 1396846929
55 LAKE AVE N
Worcester, MA 01655
(508) 334-1000
✔ PECOS✔ Accepts Medicare122 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1064227

Ismail Ozcan MD PC · Lake Ronkonkoma, NY
Active · expires Jun 6, 2027
CLIA Number33D1064227
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorDr. Ismail Ozcan
Laboratory Phone(631) 588-6665
Laboratory LocationIsmail Ozcan MD PC122 Portion Road, Lake Ronkonkoma, NY 11779
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ismail Ozcan MD PC's NPI number?

The NPI number for Ismail Ozcan MD PC is 1518082080. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Ismail Ozcan MD PC located?

Ismail Ozcan MD PC is located at 95 Church St, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 588-6665.

What is Ismail Ozcan MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ismail Ozcan MD PC enrolled in Medicare?

Yes. Ismail Ozcan MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ismail Ozcan MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Ismail Ozcan MD PC, in Family Practice, Gastroenterology, Internal Medicine and Rheumatology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ismail Ozcan MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1064227) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ismail Ozcan MD PC was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.