Individual provider Active NPI

Efrossini Antonia Kolios, MD

  • Urology Physician
  • Latham, NY
National Provider Identifier
1124275797
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
257916 Issued in NY
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

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03293267MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000501 NY Practitioner - Urology 9931225760 Reassigns benefits to 1 organization

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
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

2125 River Rd
Suite 103
Schenectady, NY 12309-1108
Phone (518) 381-9355

Hospital & facility affiliations

  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
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

LicenseStateTypeSpecialty
257916NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PC Urology CurrentSince Mar 12, 2024 Accepting new patients
Community Care Physicians, PLLC CurrentSince Feb 8, 2021 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Community Care Physicians, PLLC Urology PastSince Oct 21, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.