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

Michael Sangwoo An, DPM

Individual provider Podiatrist · NPI 1265060149

Michael Sangwoo An, DPM is a Podiatry in Stony Brook, New York. Graduated from Temple University School of Medicine in 2020, 6 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Temple University School of Medicine
Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 689-8333
Show map & directions

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

Additional practice locations (3)

  • 408 Lincoln Dr Ste B, Herrin, IL 62948-3790 — (618) 993-0900
  • 19 E Shawnee Dr Ste 3, Murphysboro, IL 62966-7072 — (618) 565-1000
  • 2448 Federal St Unit 1, Philadelphia, PA 19146-2432 — (615) 830-2427

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016006074 (IL)
Podiatrist Taxonomy 213E00000X · Licence 016006074 (IL)

Record details

NPI number1265060149
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook