Individual provider Active NPI

Dimitrios Bliagos, M.D.

  • Interventional Cardiology Physician
  • White Plains, NY
National Provider Identifier
1013164201
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
233889 Issued in NY
Practice address
33 Davis Avenue
White Plains, NY 10605
Phone
(914) 931-2943
Fax
(914) 457-3432
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 233889 NY
Interventional Cardiology Physician 207RI0011X 233889 NY Primary

Addresses

Primary practice location

33 Davis Avenue
White Plains, NY 10605

Mailing address

33 Davis Avenue
White Plains, NY 10605
Phone (914) 931-2943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000133 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 0840316758 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
State University of New York at Stony Brook, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

212 Jericho Tpke
Mineola, NY 11501-1613
Phone (516) 663-4480

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2017 Accepting new patients
New York University Cardiovascular Disease CurrentSince Nov 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Feb 1, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 1, 2013 Accepting new patients
New York University Cardiovascular Disease CurrentSince Nov 1, 2023 Accepting new patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Jun 1, 2013 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Feb 15, 2011 Accepting new patients
The Westchester Medical Group PC CurrentSince Feb 15, 2011 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Trustees Columbia University City Ny Center Interventional Vascular TH Interventional Cardiology Past Accepting new patients
Westchester Medical Group, P.C. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

212 Jericho Tpke
Mineola, NY 11501
Phone (516) 663-2599

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

2700 Westchester Ave
Fl 2
Purchase, NY 10577

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

33 Davis Ave
White Plains, NY 10605
Phone (914) 948-3630

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: dbliagos@hiemail.healtheconnections.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: dbliagos603158@nyumc.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1013164201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DAVIS AVENUE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-931-2943",
            "fax_number": "914-457-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DAVIS AVENUE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-931-2943",
            "fax_number": "914-457-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIAGOS",
        "first_name": "DIMITRIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "233889",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "233889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.