Individual provider Active NPI

Nicholas Triantafillou, MD

  • Gastroenterology Physician
  • Bayside, NY
National Provider Identifier
1144212853
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
199020 Issued in NY
Practice address
21305 39TH Ave
Bayside, NY 11361-2044
Phone
(718) 224-1378
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 199020 NY Primary

Addresses

Primary practice location

21305 39TH Ave
Bayside, NY 11361-2044

Mailing address

21305 39TH Ave
Bayside, NY 11361-2044
Phone (718) 224-1378

Other identifiers 1

IdentifierTypeStateIssuer
01785964MedicaidNY

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
I20040510000369 NY Practitioner - AnesthesiologyPractitioner - GastroenterologyPractitioner - Internal Medicine 2961491568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21305 39TH Ave
Bayside, NY 11361-2044
Phone (718) 224-1378

Merit-based Incentive Payment System (MIPS)

Final score
81.97 of 100Reported as individual
Quality
63.94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy90
Upper gastrointestinal (GI) endoscopy for acid reflux35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Associates Inc PastSince Apr 1, 2004 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: nicholas.triantafillou@damian.eclinicaldirectplus.com
  • Direct secure messaging: nicholas.triantafillou@nicholastriantafillou.ehi.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1144212853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21305 39TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612044",
            "telephone_number": "718-224-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21305 39TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612044",
            "telephone_number": "718-224-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANTAFILLOU",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "199020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01785964",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.