Individual provider Active NPI

Athanasios Tournas, MD

  • Facial Plastic Surgery Physician
  • Amsterdam, NY
National Provider Identifier
1184905697
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
268672 Issued in NY
Practice address
425 Guy Park Ave
Suite 100
Amsterdam, NY 12010-1043
Phone
(518) 770-7830
Fax
(518) 770-7805
NPI assigned
Aug 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 268672 NY
Otolaryngology Physician 207Y00000X 0101249529 VA
Facial Plastic Surgery Physician 207YS0123X 268672 NY Primary

Addresses

Primary practice location

425 Guy Park Ave
Suite 100
Amsterdam, NY 12010-1043

Mailing address

425 Guy Park Ave
Suite 100
Amsterdam, NY 12010-1043
Phone (518) 770-7830

Other identifiers 2

IdentifierTypeStateIssuer
0101249529OtherVASTATE LICENSE
268672OtherNYSTATE LICENSE

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
I20130815000156 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9537332200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 841-7415

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • Sunnyview Hospital and Rehabilitation Center Hospital, Schenectady, NY, CCN 330406

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101249529VAMDOtolaryngology Physician
268672NYMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Jul 1, 2016 Accepting new patients
St. Mary'S Healthcare CurrentSince Jul 1, 2016 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

380 Guy Park Ave
Ste 2
Amsterdam, NY 12010
Phone (518) 770-7581

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

425 Guy Park Ave
Ste 100
Amsterdam, NY 12010
Phone (518) 841-0373

Organizations & group practices 3

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 6

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1184905697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GUY PARK AVE",
            "address_2": "SUITE 100",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101043",
            "telephone_number": "518-770-7830",
            "fax_number": "518-770-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GUY PARK AVE",
            "address_2": "SUITE 100",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101043",
            "telephone_number": "518-770-7830",
            "fax_number": "518-770-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURNAS",
        "first_name": "ATHANASIOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "268672",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101249529",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "268672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101249529",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "268672",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.