MR. MICHAEL VICTOR RELLA
NPI 1730837162
Nurse Practitioner - Adult Health in Port Jeff Sta, NY

Q: 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.

Q: What is Michael Rella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: 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.

Active since March 15, 2022PECOS EnrolledAccepts Medicare Assignment

5316 NESCONSET HWY, PORT JEFF STA, NY 11776(631) 689-7800 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1730837162

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. MICHAEL VICTOR RELLA

Location Address5316 NESCONSET HWYPort Jeff Sta, NY 11776-2591

Mailing Address24 Sylvan LnMiller Place, NY 11764-1536 · (631) 764-1355

Phone(631) 689-7800

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2021

Enumeration DateMarch 15, 2022

NPPES CertifiedMarch 15, 2022

✔ NPI 1730837162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 310394

5316 NESCONSET HWY, Port Jeff Sta, NY 11776

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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 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.

PECOS PAC ID6709273212

PECOS Enrollment IDI20220503000194

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.

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, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330401

Location50 Route 25ASmithtown, NY 11787 · Suffolk County

Emergency services Birthing friendly

Physician 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.

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 8

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

KINJAL AMIT GOSALIA STUDENT

Internal Medicine (Nephrology)