Individual provider Active NPI

Symeon Missios, M.D.

  • Neurological Surgery Physician
  • West Islip, NY
National Provider Identifier
1144336538
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35124092 Issued in OH
Practice address
1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939
Phone
(631) 422-5371
Fax
(330) 665-6748
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35124092 OH Primary
Neurological Surgery Physician 207T00000X MD.206973 LA

Addresses

Primary practice location

1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939

Mailing address

1175 Montauk Hwy Ste 6
West Islip, NY 11795-4939
Phone (631) 422-5371

Other identifiers 2

IdentifierTypeStateIssuer
2370618MedicaidLA
362659YH54OtherLAMEDICARE - PTAN

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
I20181204002688 NY Practitioner - Neurosurgery 3971798158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Geisel School of Medicine at Dartmouth, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kimon Bekelis Physician P CGroup PAC ID 8729418637, 7 clinicians

Practice addresses (Care Compare)

1175 Montauk Hwy
Suite 6
West Islip, NY 11795-4939
Phone (631) 422-5371

60 George St
Babylon, NY 11702-2806
Phone (631) 482-9977

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion21
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.206973LAMDNeurological Surgery Physician
35124092OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Symeon Missios MD PC Neurological Surgery CurrentSince Aug 1, 2021 Accepting new patients
Kimon Bekelis Physician P C Neurological Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

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

380 Montauk Hwy
West Islip, NY 11795
Phone (631) 422-5371

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

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

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.

Hospital & facility affiliations 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1144336538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY STE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-422-5371",
            "fax_number": "330-665-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY STE 6",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-422-5371",
            "fax_number": "330-665-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSIOS",
        "first_name": "SYMEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35124092",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "MD.206973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370618",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PTAN",
            "identifier": "362659YH54",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.