SUSMITA PATI M.D.
NPI 1730102351
Pediatrics in Setauket, NY

Q: What is Susmita Pati's NPI number?

The NPI number for Susmita Pati is 1730102351. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Susmita Pati's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susmita Pati was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 25, 2006PECOS Enrolled

4 TECHNOLOGY DR, SUITE 250, SETAUKET, NY 11733(631) 444-4601(631) 444-4990 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Susmita Pati M.d. NPPES

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

SUSMITA PATI M.D. (NPI 1730102351) is an individual pediatrics provider in Setauket, New York, licensed in New York (210122) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730102351

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSUSMITA PATICredential: M.D.

Location Address4 TECHNOLOGY DR, SUITE 250Setauket, NY 11733-4080

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650

Phone(631) 444-4601

Fax(631) 444-4990

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateApril 29, 2022

NPPES CertifiedApril 29, 2022

✔ NPI 1730102351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NY · 210122✔ Licensed in PA · MD419905

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.

4 TECHNOLOGY DR, Setauket, NY 11733

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susmita Pati 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 Susmita Pati reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc

872 mi

Pulmonary Disease

655 W 8TH ST, UFJP PULMONARY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1104086479 (904) 244-3660

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 11733 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 20

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

JAMES BERNASKO M.D

Obstetrics & Gynecology (Maternal & Fetal Medicine)

4 TECHNOLOGY DR, STONY BROOK UNIVERSITY PHYSICIANS
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4686

DR. MELISSA STRAFFORD M.D.

Obstetrics & Gynecology

4 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4686

DR. STUART MARC HOLZER M.D.

Pediatrics (Pediatric Cardiology)

4 TECHNOLOGY DR, SUITE 250
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4601

CRISTIN ROSE GENGLER CPNP

Nurse Practitioner (Pediatrics)

4 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-2700

SETAUKET SURGERY, PC

Surgery

4 TECHNOLOGY DR, SUITE 220
EAST SETAUKET, NY 11733

Suffolk County (631) 476-9296

DR. JACK OATS M.D.

Ophthalmology

4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733

Suffolk County (631) 941-1400

DR. JOHN R WITTPENN M.D.

Ophthalmology

4 TECHNOLOGY DR, SUITE 150
EAST SETAUKET, NY 11733

Suffolk County (631) 941-1400

NORTH SUFFOLK FAMILY MEDICAL CARE PLLC

Family Medicine (Adult Medicine)

4 TECHNOLOGY DR, SUITE 210
EAST SETAUKET, NY 11733

Suffolk County (631) 331-1506

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 Susmita Pati's NPI number?

The NPI number for Susmita Pati is 1730102351. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Susmita Pati located?

Susmita Pati practices at 4 Technology Dr Suite 250, Setauket, NY 11733. The listed phone number is (631) 444-4601.

What is Susmita Pati's specialty?

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

Is Susmita Pati enrolled in Medicare?

Yes. Susmita Pati is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susmita Pati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susmita Pati reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). 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 Susmita Pati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susmita Pati accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Susmita Pati as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susmita Pati was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.