KEITH BREGLIO M.D.
NPI 1922277813
Pediatrics - Pediatric Gastroenterology in Smithtown, NY

Q: What is Keith Breglio's NPI number?

The NPI number for Keith Breglio is 1922277813. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Q: What is Keith Breglio's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Keith Breglio was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 25, 2008PECOS Enrolled

260 E MIDDLE COUNTRY RD STE 107, SMITHTOWN, NY 11787(631) 979-7222(631) 265-7518 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Keith Breglio M.d. NPPES

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

KEITH BREGLIO M.D. (NPI 1922277813) is an individual pediatric gastroenterology provider in Smithtown, New York, licensed in New York (236168) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1922277813

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameKEITH BREGLIOCredential: M.D.

Location Address260 E MIDDLE COUNTRY RD STE 107Smithtown, NY 11787

Mailing Address100 Nicolls Road, Hsc Level 11, Rm 080Stony Brook, NY 11794-8111 · (631) 444-8115 · Fax (631) 444-6045

Phone(631) 979-7222

Fax(631) 265-7518

Sole ProprietorYes

Enumeration DateFebruary 25, 2008

Last NPPES UpdateJuly 10, 2019

✔ NPI 1922277813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in NY · 236168

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 236168 (NY)

260 E MIDDLE COUNTRY RD STE 107, Smithtown, NY 11787

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Secondary Practice Location 1

Location 11 Gustave L Levy Pl, BOX 1200New York, NY 10029-6500 · Phone (212) 241-5415

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Breglio 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 Keith Breglio 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

5.1 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

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 5

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

DR. SUZETTE UMBAO SANTOS M.D.

Pediatrics