Nicholas J Nissirios, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

259882 Issued in NY

Practice address

20020 44TH Ave FL 2
Bayside, NY 11361-2658

Phone

(718) 423-2020

NPI assigned

Dec 26, 2010

Sex

Male

Sole proprietor

Yes

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

Ophthalmology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85 of 100Reported as group

Quality

100

Improvement activities

40

Cost

44.92

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: nnissirios@nopc.intellechartdirect.net
• Direct secure messaging: nnissirios68957@northwell.direct-ci.com

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.

• Nissirios Ophthalmology PC

  • Ophthalmology Physician
  • Bayside, NY
  • NPI 1346642352
  Medicare reassignment Authorized official
• Orasis Laser LLC

  • Ambulatory Surgical Clinic/Center
  • Bayside, NY
  • NPI 1316651383
  NPD Authorized official
• Alexander P Hatsis Physician PC

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1447520234
  NPD (past)
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)

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

{
    "created_epoch": "1293321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1205130754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20020 44TH AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612658",
            "telephone_number": "718-423-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20020 44TH AVE FL 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612658",
            "telephone_number": "718-423-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSIRIOS",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-26",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "259882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas C. Kaloudis M.D. PLLC
• Nicholas Triantafillou MD PC
• Kathleen Nicholas
• Patricia Nicolescu
• Nissirios Ophthalmology PC
• NA Don Chalitharanga Niwunhella
• Carol Nocella
• Nodar Janas MD PC
• Stephanie Noone, PT
• Lissette J Norman, M. S.

• Ophthalmology Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.