NPIMap

Organization Active NPI

Kimon Bekelis Physician P C

  • Neurological Surgery Physician
  • Babylon, NY
National Provider Identifier
1083259675
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
KIMON BEKELIS PHYSICIAN P C
Practice address
60 George St
Babylon, NY 11702-2806
Phone
(631) 983-7072
Fax
(631) 201-5194
NPI assigned
Nov 7, 2019
Last updated
Jun 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Kimon Bekelis, MDNPI 1588808273
Title
Owner
Phone
(631) 983-7072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

60 George St
Babylon, NY 11702-2806

Mailing address

60 George St
Babylon, NY 11702-2806
Phone (631) 983-7072

Other practice location 1

1175 Montauk Hwy
Suite 6
West Islip, NY 11795
Phone (631) 422-5371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416002512 NY Part B Supplier - Clinic/Group Practice 8729418637 Receives reassigned benefits from 7 practitioners
Practice locations: Babylon, NY

National Provider Directory

National Provider Directory

Locations

60 George St
Babylon, NY 11702
Phone (631) 422-5371

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1083259675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GEORGE ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022806",
            "telephone_number": "631-983-7072",
            "fax_number": "631-201-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GEORGE ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022806",
            "telephone_number": "631-983-7072",
            "fax_number": "631-201-5194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Montauk Hwy",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "11795",
            "country_code": "US",
            "telephone_number": "631-422-5371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIMON BEKELIS PHYSICIAN P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "BEKELIS",
        "authorized_official_first_name": "KIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-983-7072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.