Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitchell R Locke, MD

Individual provider Internal Medicine Physician · NPI 1518954726

Dr. Mitchell R Locke, MD is a Gastroenterology in Great Neck, New York. Graduated from State University of New York Downstate Medical Center in 1992, 34 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
34
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

488 Great Neck Rd Ste 200
Great Neck, NY 11021-4308
Phone: (516) 482-6747
Fax: (516) 326-6252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 199280 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 199280 (NY)

Record details

NPI number1518954726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address488 Great Neck Rd Ste 300, Great Neck, NY 11021-4308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1992 (34 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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