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KEITH G ANCONA M.D.
NPI 1619934205
Pediatrics in Smithtown, NY

Active since April 27, 2006PECOS Enrolled
300 E MAIN ST, SUITE 5, SMITHTOWN, NY 11787(631) 979-6466(631) 979-6475 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith G Ancona M.d. NPPES

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

KEITH G ANCONA M.D. (NPI 1619934205) is an individual pediatrics provider in Smithtown, New York, licensed in New York (221658) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619934205
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKEITH G ANCONACredential: M.D.
Location Address300 E MAIN ST, SUITE 5Smithtown, NY 11787-2900
Mailing Address300 E Main St, Suite 5Smithtown, NY 11787-2900 · (631) 979-6466 · Fax (631) 979-6475
Phone(631) 979-6466
Fax(631) 979-6475
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1619934205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 221658
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 E MAIN ST, Smithtown, NY 11787
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Other Identifiers 1

Medicaid02413734NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith G Ancona M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Ancona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Boston Children's Health Physicians, LLP
36 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 17

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

MRS. YVONNE A MUDARO MA,CCC-A
Audiologist
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 265-3727
JUDITH MURPHY NP
Nurse Practitioner (Pediatrics)
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
DR. MARY ANN FLYNN GAMENG MD
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
RICHARD C ANCONA MD
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
SULTAN MOHIUDDIN, MD
Surgery (Vascular Surgery)
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 979-0212
MISS VANESSA FORBES AUD
Audiologist
300 E MAIN ST
SMITHTOWN, NY 11787
Suffolk County (631) 656-6545
MICHAEL ROBERT STERN MD, FAAP
Pediatrics
300 E MAIN ST, SUITE 5
SMITHTOWN, NY 11787
Suffolk County (631) 979-6466
SULTAN MOHIUDDIN MD PC
Specialist
300 E MAIN ST, SUITE 2
SMITHTOWN, NY 11787
Suffolk County (631) 979-0212

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 Keith Ancona's NPI number?

The NPI number for Keith Ancona is 1619934205. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Keith Ancona located?

Keith Ancona practices at 300 E Main St Suite 5, Smithtown, NY 11787. The listed phone number is (631) 979-6466.

What is Keith Ancona's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Keith Ancona enrolled in Medicare?

Yes. Keith Ancona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Ancona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Ancona reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, 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 Keith Ancona'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 Keith Ancona was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.