John Vlattas, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

195684 Issued in NY

Practice address

21316 39TH Ave
Bayside, NY 11361-2045

Phone

(718) 229-7800

Fax

(718) 279-7470

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 18, 2025 through Feb 18, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gleneida Medical Care PC

  • Specialist
  • Carmel, NY
  • NPI 1861588204
  NPD (past)
• University Orthopedics of New York PLLC

  • Orthopaedic Surgery Physician
  • Astoria, NY
  • NPI 1588654636
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1063414852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21316 39TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612045",
            "telephone_number": "718-229-7800",
            "fax_number": "718-279-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21316 39TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612045",
            "telephone_number": "718-229-7800",
            "fax_number": "718-279-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLATTAS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "195684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "195684-6",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis A Villanueva
• Line Vincent, PT
• Nicole Viscovich, AU.D
• Visiting Nurse Service of New York
• VK31 Corp
• Emmanoyil Vlepakis, M.S. SLP-CCC
• Eugene Volkov
• Leandra Volpe
• Linda Volpe, M.D.
• Peter Vratimos, MA, MSW

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.