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MAIRA NUSRAT
NPI 1740842731
Pediatrics - Pediatric Pulmonology in Stony Brook, NY

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-5437 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2025, Jul 1, 2019 (2 updates tracked since 2019).

About Maira Nusrat NPPES

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

MAIRA NUSRAT (NPI 1740842731) is an individual pediatric pulmonology provider in Stony Brook, New York, licensed in New York (318415) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740842731
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameMAIRA NUSRAT
Location Address101 NICOLLS RDStony Brook, NY 11794-3656
Mailing Address101 Nicolls Rd Ste 20Stony Brook, NY 11794-0001 · (631) 444-5437
Phone(631) 444-5437
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 1, 2019
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1740842731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in NY · 318415
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
101 NICOLLS RD, Stony Brook, NY 11794
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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

Maira Nusrat 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 ID840704607
PECOS Enrollment IDI20250704000263
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 Maira Nusrat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.5 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Maira Nusrat's NPI number?

The NPI number for Maira Nusrat is 1740842731. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Maira Nusrat located?

Maira Nusrat practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-5437.

What is Maira Nusrat's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Maira Nusrat enrolled in Medicare?

Yes. Maira Nusrat 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 Maira Nusrat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maira Nusrat reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, 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 Maira Nusrat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maira Nusrat was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.