Individual provider Active NPI

Evan Gelenn Dio Siau, M.D.

  • Hospitalist Physician
  • New York, NY
National Provider Identifier
1205217973
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
299726 Issued in NY
Practice address
1St Avenue at 16TH Street
New York, NY 10003
Phone
(212) 844-1808
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 299726 NY Primary

Addresses

Primary practice location

1St Avenue at 16TH Street
New York, NY 10003

Mailing address

350 E 17TH St
FL 19, Suite 50
New York, NY 10003-3805
Phone (212) 844-1808

Other practice location 1

350 E 17th St
New York, NY 10003-3805
Phone (212) 420-4056

Other practice location 2

4422 3rd Ave Bldg 3
Department of Internal Medicine
Bronx, NY 10457-2545
Phone (718) 960-9000

Other practice location 3

281 1st Ave
New York, NY 10003-2925
Phone (212) 844-1808

Other practice location 4

10 Union Sq E
New York, NY 10003-3314
Phone (212) 844-1808

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evan.siau@mountsinai.org

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711000070 NY Practitioner - Hospitalist 8628303864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

16 TH St and 1St Ave
New York, NY 10003-3804
Phone (212) 420-2000

301 E 17TH St
New York, NY 10003-3804
Phone (212) 263-7300

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
New York University Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

281 1st Ave
New York, NY 10003
Phone (212) 844-1808

350 E 17th St
New York, NY 10003
Phone (212) 420-3363

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

350 E 17th St
Fl 19
New York, NY 10003
Phone (212) 420-4056

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: esiau632431@nyumc.direct-ci.com

Organizations & group practices 6

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 7

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1205217973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 17TH ST",
            "address_2": "FL 19, SUITE 50",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033805",
            "telephone_number": "212-844-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST AVENUE AT 16TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-844-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E 17th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033805",
            "country_code": "US",
            "telephone_number": "212-420-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 3rd Ave Bldg 3",
            "address_2": "Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "718-960-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100032925",
            "country_code": "US",
            "telephone_number": "212-844-1808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Union Sq E",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033314",
            "country_code": "US",
            "telephone_number": "212-844-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIAU",
        "first_name": "EVAN",
        "middle_name": "GELENN DIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "299726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evan.siau@mountsinai.org",
            "affiliation": "N",
            "endpointDescription": "Organization Email",
            "address_1": "350 E 17th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100033805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.