Active NPI
Efrossini Antonia Kolios, MD
- Urology Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 257916
- Practice address
- 6 Wellness Way Ste G01
Latham, NY 12110-2156 - Phone
- (518) 836-3600
- Fax
- (518) 836-3664
- NPI assigned
- Aug 26, 2008
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 257916 | NY | Primary |
Addresses
Primary practice location
6 Wellness Way Ste G01
Latham, NY 12110-2156
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700
Other practice location 1
319 S Manning Blvd
Suite 308A
Albany, NY 12208-1742
Phone (518) 438-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03293267 | Medicaid | NY |
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
- Urology
- Education
- Albany Medical College of Union University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2125 River Rd
Suite 103
Schenectady, NY 12309-1108
Phone (518) 381-9355
Hospital & facility affiliations
- Ellis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 98.76
- Improvement activities
- 40
- Cost
- 76.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257916 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PC | Urology | Current | Accepting new patients |
| Community Care Physicians, PLLC | Current | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients | |
| Community Care Physicians, PLLC | Urology | Past | Accepting new patients |
Locations
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste G07
Latham, NY 12110
Phone (518) 383-3600
6 Wellness Way
Ste G04
Latham, NY 12110
Phone (518) 785-5884
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
6 Wellness Way
Ste G01
Latham, NY 12110
Phone (518) 836-3600
2125 River Rd
Ste 104
Schenectady, NY 12309
Phone (518) 713-5341
2125 River Rd
Ste 103
Schenectady, NY 12309
Phone (518) 381-9355
Interoperability endpoints
- efrossinikolios@ccp.allscriptsdirect.net
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
- Latham, NY
- NPI 1922048370
-
- Urology Physician
- Latham, NY
- NPI 1932621380
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
- Urology Physician
- Latham, NY
- NPI 1598049926
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1124275797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE G01",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-836-3600",
"fax_number": "518-836-3664"
}
],
"practiceLocations": [
{
"address_1": "319 S Manning Blvd",
"address_2": "Suite 308A",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122081742",
"country_code": "US",
"telephone_number": "518-438-5300",
"fax_number": "518-438-5301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLIOS",
"first_name": "EFROSSINI",
"middle_name": "ANTONIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "257916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03293267",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.