Ioanis C Siderias, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

217866 Issued in NY

Practice address

5600 Sunrise Hwy
Stat Health
Sayville, NY 11782-1017

Phone

(631) 563-7828

Fax

(631) 265-5128

NPI assigned

Jun 10, 2006

Last updated

Oct 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency MedicineAlso: Osteopathic Manipulative Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

82.1

Promoting interoperability

100

Improvement activities

40

Cost

72.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ioanis.siderias.1@2983.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment Care Compare group NPD
• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • Franklin Square, NY
  • NPI 1013492198
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD
• 24-7 Emergency Care, PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Southampton, NY
  • NPI 1861401614
  NPD (past)
• Emergency Medicine Physicians of Suffolk County, PLLC

  • Emergency Medicine Physician
  • East Patchogue, NY
  • NPI 1669783924
  NPD (past)
• Port Emergency Medical Services, P.C.

  • Emergency Medicine Physician
  • Port Jefferson, NY
  • NPI 1912988395
  NPD (past)
• Stony Brook Emergency Physicians, University Faculty Practice Corporat

  • Emergency Medicine Physician
  • Stony Brook, NY
  • NPI 1265487672
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1164463857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SUNRISE HWY",
            "address_2": "STAT HEALTH",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821017",
            "telephone_number": "631-563-7828",
            "fax_number": "631-265-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SUNRISE HWY",
            "address_2": "STAT HEALTH",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821017",
            "telephone_number": "631-563-7828",
            "fax_number": "631-265-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDERIAS",
        "first_name": "IOANIS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "217866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Scrima-Castelli
• Laura P. Segarra
• Elizabeth Ann Severin, RN
• Alyssa V Shea, OTR/L
• Jonathan L Shuman
• Rebecca Simari, LCSW
• Stephen Simonetti, PHARMACIST
• Ronald C Sinagra CH
• Denise M Sivaslian, MA, CCC-SLP
• Bridgette Skidmore, LMT

• Emergency Medicine Physician in Sayville, NY
• Providers in Sayville, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.

Verify at the official NPI Registry.