SANG I PAK MD
NPI 1689680019
Surgery in Southampton, NY
About Sang I Pak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANG I PAK MD (NPI 1689680019) is an individual surgery provider in Southampton, New York, licensed in New York (208286) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of New York Medical College (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sang I Pak Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Sang Pak 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Suny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHAMPTON, NY 11968
SOUTHAMPTON, NY 11968
SOUTHAMPTON, NY 11968
SOUTHHAMPTON, 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 Sang Pak's NPI number?
The NPI number for Sang Pak is 1689680019. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Sang Pak located?
Sang Pak practices at 240 Meeting House Lane Surgical Specialties Office, Southampton, NY 11968. The listed phone number is (631) 726-8717.
What is Sang Pak's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Sang Pak enrolled in Medicare?
Yes. Sang Pak 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.
Which organization bills Medicare for Sang Pak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sang Pak 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 Sang Pak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sang Pak affiliated with any hospitals?
According to CMS data, Sang Pak is affiliated with Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for Sang Pak was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Sang I Pak, MD · NPI 1689680019
Surgery physician in Southampton, New York. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1689680019 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 208286 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 240 MEETING HOUSE LANE, SURGICAL SPECIALTIES OFFICE, Southampton, NY 11968
- **Phone:** (631) 726-8717 · **Fax:** (631) 726-8720
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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
- **Medical school:** New York Medical College, class of 1990
## Record status
- **NPPES last updated:** February 14, 2018
- **Other identifiers:** Medicaid 01925662 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1689680019) · Data from the CMS NPPES public registry.