| Dr Ekambaram Ilamathi, MD | |
|
38 S Windsor Ave, Brightwaters, NY 11718-1505 | |
| (516) 318-8527 | |
| Not Available |
| Full Name | Dr Ekambaram Ilamathi |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 53 Years |
| Location | 38 S Windsor Ave, Brightwaters, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326046715 | NPI | - | NPPES |
| 00384827 | Medicaid | NY | |
| 390001418 | Other | NY | MEDICARE RAILROAD |
| 337741 | Other | NY | EMPIRE BLUECROSS BLUSHIEL |
| CS665 | Other | NY | OXFORD |
| 1318 | Other | NY | VYTRA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 126913 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Long Island Bay Shore Dialysis Center | Bay shore, NY | Dialysis facility |
| Hauppauge Dialysis Center | Hauppauge, NY | Dialysis facility |
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Physician Partners Pc | 7618955667 | 618 |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ekambaram Ilamathi, MD 38 S Windsor Ave, Brightwaters, NY 11718-1505 Ph: (516) 318-8527 | Dr Ekambaram Ilamathi, MD 38 S Windsor Ave, Brightwaters, NY 11718-1505 Ph: (516) 318-8527 |
Ms. Kristin Michelle Stawiarski, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 402 Potter Blvd, Brightwaters, NY 11718 Phone: 631-894-5600 | |
Miss Tashina Elizabeth Dussie, D.O Nephrology Medicare: Accepting Medicare Assignments Practice Location: 402 Potter Blvd, Brightwaters, NY 11718 Phone: 631-894-5600 Fax: 631-894-5625 |