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

Kevin Jacob Yeroushalmi, MD

Individual provider Internal Medicine Physician · NPI 1831552165

Kevin Jacob Yeroushalmi, MD is an Internal Medicine in Manorville, New York. Qualified in 2016, 10 years ago. Practices with Peconic Bay Primary Medical Care, a 72-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
10
Licensed in
FL, NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

496 County Road 111 Bldg D2
Manorville, NY 11949-3387
Phone: (631) 591-2901
Fax: (631) 591-2904
Show map & directions

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

Additional practice locations (2)

  • 1 Heroes Way, Riverhead, NY 11901-2054 — (631) 548-6000
  • 1272 E Main St, Riverhead, NY 11901-2583 — (631) 591-2901

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 299499 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 299499 (NY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence ME160385 (FL)

Record details

NPI number1831552165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Peconic Bay Primary Medical Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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