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MONIKA DATT D.O.
NPI 1578716262
Internal Medicine - Endocrinology, Diabetes & Metabolism in Stony Brook, NY

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
2500 NESCONSET HWY BLDG 3C, STONY BROOK, NY 11790(631) 751-2400(631) 751-8323 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2016, Dec 3, 2015 (2 updates tracked since 2015).

About Monika Datt D.o. NPPES

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

MONIKA DATT D.O. (NPI 1578716262) is an individual endocrinology, diabetes & metabolism provider in Stony Brook, New York, licensed in New York (265812) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1578716262
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMONIKA DATTCredential: D.O.
Location Address2500 NESCONSET HWY BLDG 3CStony Brook, NY 11790-2551
Mailing Address170 Maple Ave, Ste G-1White Plains, NY 10601-4767 · (631) 751-2400 · Fax (631) 751-8323
Phone(631) 751-2400
Fax(631) 751-8323
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 28, 2008
Last NPPES UpdateJanuary 19, 20162 updates tracked since enumeration
✔ NPI 1578716262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 265812
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2500 NESCONSET HWY BLDG 3C, Stony Brook, NY 11790
Open in Google Maps ↗

Other Identifiers 1

Other265812NY · Ny License 265812

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monika Datt D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638327026
PECOS Enrollment IDI20120910000136
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
715 services360 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
582 services360 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
235 services149 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
109 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 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
$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.

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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers11 claims360 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
38 suppliers100 claims318 services$6.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
22 suppliers46 claims80 services$1.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
20 suppliers184 claims184 services$181.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

THEOFANIS MITSINIKOS, DO, PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NESCONSET HWY BLDG 3C
STONY BROOK, NY 11790
Suffolk County (631) 751-2400

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 Monika Datt's NPI number?

The NPI number for Monika Datt is 1578716262. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Monika Datt located?

Monika Datt practices at 2500 Nesconset Hwy Bldg 3C, Stony Brook, NY 11790. The listed phone number is (631) 751-2400.

What is Monika Datt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Monika Datt enrolled in Medicare?

Yes. Monika Datt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Monika Datt affiliated with any hospitals?

According to CMS data, Monika Datt is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Monika Datt was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.