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HORMUZ NICOLWALA M.D.
NPI 1972998078
Pediatrics - Neonatal-Perinatal Medicine in Southampton, NY

Active since April 06, 2015PECOS Enrolled
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-8200 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hormuz Nicolwala M.d. NPPES

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

HORMUZ NICOLWALA M.D. (NPI 1972998078) is an individual neonatal-perinatal medicine provider in Southampton, New York, licensed in New York (308598) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1972998078
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameHORMUZ NICOLWALACredential: M.D.
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing Address201 W Broadway Apt 211Port Jefferson, NY 11777-1352 · (979) 777-9411
Phone(631) 726-8200
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
✔ NPI 1972998078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 308598
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
240 MEETING HOUSE LN, Southampton, NY 11968
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Center Drive, Room 4411Morgantown, WV 26506-9214 · Phone (304) 293-1198

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hormuz Nicolwala 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 Hormuz Nicolwala 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
39 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.

DR. KONSTADINOS J SPYRIS D.O.
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 560-3219
MICHAEL AMERES MD
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 537-0318
ANTHONY JOHN VACCHIO
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200
KATELYN ANNE PIERSON MS,RD,CDN
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8233
RAMI AZZAM
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
CRYSTAL JOY
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8476
TEIAH MOORE D.O.
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
DR. RIDDHISH SHETH MD
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200

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 Hormuz Nicolwala's NPI number?

The NPI number for Hormuz Nicolwala is 1972998078. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Hormuz Nicolwala located?

Hormuz Nicolwala practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 726-8200.

What is Hormuz Nicolwala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Hormuz Nicolwala enrolled in Medicare?

Yes. Hormuz Nicolwala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hormuz Nicolwala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hormuz Nicolwala 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 Hormuz Nicolwala'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 Hormuz Nicolwala was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.