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DR. MITCHELL PETERSON CREED MD
NPI 1659831121
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Islip, NY

Active since March 21, 2019PECOS Enrolled

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Mar 21, 2019 (2 updates tracked since 2019).

About Dr. Mitchell Peterson Creed Md NPPES

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

DR. MITCHELL PETERSON CREED MD (NPI 1659831121) is an individual neurology with special qualifications in child neurology provider in Islip, New York, licensed in New York (331351) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659831121
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. MITCHELL PETERSON CREEDCredential: MD
Location Address712 MAIN STIslip, NY 11751-3620
Mailing Address605 Sylvan AveBayport, NY 11705-1540 · (913) 544-6647
Phone(631) 666-3939
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1659831121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NY · 331351
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License 331351 (NY)
712 MAIN ST, Islip, NY 11751
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mitchell Peterson Creed Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032445739
PECOS Enrollment IDI20250623001776
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11751 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.

Other Providers at the Same Location NPPES 19

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

DR. MYASSAR ZARIF MD
Psychiatry & Neurology (Neurology)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3939
MRS. SELINA A WILLIAMS RN, FNP
Clinical Nurse Specialist (Family Health)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3939
DR. EDWARD FIROUZTALE DO
Psychiatry & Neurology (Neurology)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3939
DANIELLE WALTHERS NP
Nurse Practitioner (Family)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3939
ELISSA H KRAVIS ANP
Nurse Practitioner (Adult Health)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3951
SOUTH SHORE NEUROLOGIC ASSOCIATES P.C.
Psychiatry & Neurology (Neurology)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3939
ELIZABETH KATE HOGAN ANP
Nurse Practitioner (Adult Health)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3939
DR. MARK GUDESBLATT M.D.
Psychiatry & Neurology (Neurology)
712 MAIN ST
ISLIP, NY 11751
Suffolk County (631) 666-3939

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 Mitchell Creed's NPI number?

The NPI number for Mitchell Creed is 1659831121. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Mitchell Creed located?

Mitchell Creed practices at 712 Main St, Islip, NY 11751. The listed phone number is (631) 666-3939.

What is Mitchell Creed's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Mitchell Creed enrolled in Medicare?

Yes. Mitchell Creed is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitchell Creed was last updated on June 30, 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.