Active NPI
Katherine Siamas, MD
- Dermatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 270477
- Practice address
- 445 E 58TH St
New York, NY 10022-2384 - Phone
- (212) 838-0270
- NPI assigned
- May 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 270477 | NY | Primary |
Addresses
Primary practice location
445 E 58TH St
New York, NY 10022-2384
Mailing address
445 E 58TH St
New York, NY 10022-2384
Phone (212) 838-0270
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Stony Brook Rd
Suite 200
Stony Brook, NY 11790-2215
Phone (631) 444-4200
Hospital & facility affiliations
- Suny/Stony Brook University Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 454 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 211 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270477 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Current | Accepting new patients | |
| Sutton Place Dermatology, P.C. | Current | Accepting new patients | |
| The Retina & Macular Degeneration Center of SW Florida PLLC | Past | Accepting new patients | |
| Stony Brook Pathologists, University Faculty Practice Corporation | Past | Accepting new patients | |
| Amy Rose MD, PLLC | Dermatology | Past | Accepting new patients |
Locations
445 E 58th St
New York, NY 10022
Phone (212) 838-0270
100 Nicolls Rd
#8165
Stony Brook, NY 11794
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- katherine.siamas@direct.stonybrookmedicine.edu
Organizations & group practices 6
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.
-
- Dermatology Physician
- Stony Brook, NY
- NPI 1497700819
-
- Dermatopathology Physician
- New York, NY
- NPI 1730213943
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
-
- Dermatology Physician
- New York, NY
- NPI 1447917695
-
- Anatomic Pathology & Clinical Pathology Physician
- Stony Brook, NY
- NPI 1912944794
-
- Specialist
- Naples, FL
- NPI 1942555891
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1013209212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E 58TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222384",
"telephone_number": "212-838-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 E 58TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222384",
"telephone_number": "212-838-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAMAS",
"first_name": "KATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "270477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.