MR. MICHAEL VICTOR RELLA
NPI 1730837162
Nurse Practitioner - Adult Health in Port Jeff Sta, NY
About Mr. Michael Victor Rella NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL VICTOR RELLA (NPI 1730837162) is an individual adult health provider in Port Jeff Sta, New York, licensed in New York (310394) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Michael Victor Rella 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 Michael Rella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- 636 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Catherine Of Siena Hospital Medical Center
Acute Care Hospitals · Smithtown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
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 Michael Rella's NPI number?
The NPI number for Michael Rella is 1730837162. It was assigned to this individual provider in the NPPES registry on March 15, 2022.
Where is Michael Rella located?
Michael Rella practices at 5316 Nesconset Hwy, Port Jeff Sta, NY 11776. The listed phone number is (631) 689-7800.
What is Michael Rella's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Michael Rella enrolled in Medicare?
Yes. Michael Rella 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 Michael Rella's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Rella reassigns Medicare benefits to North Shore Hematology Oncology Associates PC (Port Jefferson Station, 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 Michael Rella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Rella affiliated with any hospitals?
According to CMS data, Michael Rella is affiliated with St Catherine Of Siena Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Rella was last updated on March 15, 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.
# Mr. Michael Victor Rella · NPI 1730837162
Adult Health physician in Port Jeff Sta, New York. Individual provider, active in the CMS NPPES registry since March 15, 2022.
## Identity
- **NPI:** 1730837162 (Entity type: Individual)
- **Enumerated:** March 15, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 310394 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5316 NESCONSET HWY, Port Jeff Sta, NY 11776-2591
- **Phone:** (631) 689-7800
## 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:** North Shore Hematology Oncology Associates PC (NPI 1396794574, Port Jefferson Station, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** March 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730837162) · Data from the CMS NPPES public registry.