Active NPI
Michael Lioudis, M.D.
- Nephrology Physician
- Camillus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 310114
- Practice address
- 208 Township Blvd
Camillus, NY 13031-1786 - Phone
- (315) 551-6000
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT185140 | PA | |
| Nephrology Physician | 207RN0300X | 310114 | NY | Primary |
Addresses
Primary practice location
208 Township Blvd
Camillus, NY 13031-1786
Mailing address
251 Salina Meadows Pkwy Ste 100
Syracuse, NY 13212-4516
Phone (315) 464-2014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- State University of New York at Buffalo School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
90 Presidential PLZ
Firmc
Syracuse, NY 13202-2240
Phone (315) 464-5788
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.56 of 100
- Quality
- 71.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310114 | NY | MD | Nephrology Physician |
| MT185140 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Service Group | Current | Accepting new patients | |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Nephrology | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Locations
21 Nelson St
Auburn, NY 13021
Phone (315) 255-9004
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
90 Presidential Plz
#C
Syracuse, NY 13202
Phone (315) 464-3834
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836
Interoperability endpoints
- mlioudismd27863@direct.ccf.org
- mlioudis119390@direct.upstate.edu
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
Nephrology
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1073729463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 SALINA MEADOWS PKWY STE 100",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132124516",
"telephone_number": "315-464-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 TOWNSHIP BLVD",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130311786",
"telephone_number": "315-551-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIOUDIS",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT185140",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "310114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.