Active NPI
Matthew Peter Liakos, M.D.
- Interventional Cardiology Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 282839
- Practice address
- 540 Union Blvd
West Islip, NY 11795-3105 - Phone
- (631) 669-2555
- NPI assigned
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | TP802 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 282839 | NY | Primary |
Addresses
Primary practice location
540 Union Blvd
West Islip, NY 11795-3105
Mailing address
540 Union Blvd
West Islip, NY 11795-3105
Phone (516) 547-6252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Albany Medical College of Union University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225
540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2255
Hospital & facility affiliations
- Good Samaritan Hospital Medical Center
- St Francis Hospital - the Heart Center
- Chsli St Joseph Hospital
- St Charles Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 87 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP802 | KY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| St. Francis Hospital | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Cardiac Ekg Interpretation, P. C. | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc. | Interventional Cardiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Interventional Cardiology | Current | Accepting new patients |
| St Francis Hospital United States Catholic Conference | Past | Accepting new patients |
Locations
613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
111 E 210th St
Bronx, NY 10467
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
55 Medford Ave
Unit E
Patchogue, NY 11772
Phone (631) 687-4190
300 Community Dr
Plandome, NY 11030
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mliakos120526@direct-chsli.net
- mliakos71479@direct.kdhealth.us
Organizations & group practices 11
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.
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1386665644
-
dba St. Francis Hospitalists
- General Acute Care Hospital
- Roslyn, NY
- NPI 1760704811
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
dba Kings Daughters Medical Specialities Physical Medicine and Rehab
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Bellmore Family Practice
- Family Medicine Physician
- Bellmore, NY
- NPI 1720334527
-
- Cardiovascular Disease Physician
- West Islip, NY
- NPI 1528386810
-
dba Kings Daughters Medical Specialties Tri State Regional Cancer Center
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
dba Kings Daughters Medical Specialties - KHI Cardiology
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1134484892
Interventional Cardiology
-
dba St Francis Ekg
- General Acute Care Hospital
- Roslyn, NY
- NPI 1750439030
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
dba St. Charles Hospital
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1164481529
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1194004291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 UNION BLVD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953105",
"telephone_number": "516-547-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 UNION BLVD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953105",
"telephone_number": "631-669-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAKOS",
"first_name": "MATTHEW",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2020-10-06",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "TP802",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "282839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.