Supreme Medical P.C.
NPI 1902965171 · Internal Medicine Physician · East Setauket, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supreme Medical P.C. is a Internal Medicine Physician organization in East Setauket, NY (NPI 1902965171).
Provider details
- NPI number
- 1902965171
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anjani Kota, President(631) 751-8905
- License
- 222728 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2014-03-03
Frequently asked questions
- What is Supreme Medical P.C.'s NPI number?
- Supreme Medical P.C.'s National Provider Identifier (NPI) is 1902965171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Medical P.C.?
- Supreme Medical P.C. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Supreme Medical P.C. located?
- Supreme Medical P.C.'s practice location on file with NPPES is 100 N Belle Mead Rd, East Setauket, NY 11733-3530.
- What is Supreme Medical P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Supreme Medical P.C. is (631) 751-8905.
- Does Supreme Medical P.C. accept Medicare?
- Supreme Medical P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Supreme Medical P.C.?
- The authorized official listed on Supreme Medical P.C.'s NPPES record is Anjani Kota, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Medical P.C.'s NPI active?
- Yes — Supreme Medical P.C.'s NPI (1902965171) is active in the NPPES registry as of the last update on 2014-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.