Individual provider Active NPI

Matthias Angelos Karajannis, MD

  • Pediatric Hematology & Oncology Physician
  • New York, NY
National Provider Identifier
1174643167
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
243584 Issued in NY
Practice address
1275 York Ave
Department of Pediatrics, Box 234
New York, NY 10065-6007
Phone
(212) 639-3171
Fax
(212) 717-3239
NPI assigned
Mar 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 243584 NY
Pediatric Hematology & Oncology Physician 2080P0207X 243584 NY Primary

Addresses

Primary practice location

1275 York Ave
Department of Pediatrics, Box 234
New York, NY 10065-6007

Mailing address

1275 York Ave
Department of Pediatrics, Box 234
New York, NY 10065-6007
Phone (212) 639-3171

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
I20110329000003 NY Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 6901089929 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243584NYMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Pediatrics CurrentSince Jan 1, 2011 Accepting new patients
MSK Harrison CurrentSince Jun 21, 2017 Accepting new patients
New York University CurrentSince Jan 1, 2011 Accepting new patients
Memorial Pediatric Group Pediatrics CurrentSince Jan 22, 2017 Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients

Locations

760 Broadway
Brooklyn, NY 11206
Phone (718) 963-5807

760 Broadway
#2B230
Brooklyn, NY 11206
Phone (718) 486-2743

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
#234
New York, NY 10065
Phone (212) 639-3171

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

Networks

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

Interoperability endpoints

  • Direct secure messaging: mkarajannis22535@mskcc.direct-ci.com
  • Direct secure messaging: mak9035@direct.nyp.org

Organizations & group practices 5

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": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1174643167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "address_2": "DEPARTMENT OF PEDIATRICS, BOX 234",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-3171",
            "fax_number": "212-717-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "address_2": "DEPARTMENT OF PEDIATRICS, BOX 234",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-3171",
            "fax_number": "212-717-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAJANNIS",
        "first_name": "MATTHIAS",
        "middle_name": "ANGELOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "243584",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NY",
            "license": "243584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.