Active NPI
Ioannis Tassiulas, M.D.
- Rheumatology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 233519
- Practice address
- 5 E 98TH St
New York, NY 10029 - Phone
- (212) 241-1671
- NPI assigned
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 233519 | NY | Primary |
Addresses
Primary practice location
5 E 98TH St
New York, NY 10029
Mailing address
1 Gustave L Levy PL # 3000
New York, NY 10029-6504
Other practice location 1
19 Bradhurst Ave
Suite 3090
Hawthorne, NY 10532-0000
Phone (914) 372-7887
Other practice location 2
19 Bradhurst Ave
Suite 3090
Hawthorne, NY 10532-0000
Phone (914) 372-7887
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233519 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Rheumatology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Medical Research Associates,PC | Rheumatology | Past | Accepting new patients |
| Westchester Medical Center | Past | Accepting new patients |
Locations
200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
10 E 102nd St
New York, NY 10029
Phone (212) 241-5656
5 E 98th St
Fl 11
New York, NY 10029
Phone (212) 241-4299
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Organizations & group practices 8
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.
-
dba Rheumatology Division of Mount Sinai
- Rheumatology Physician
- New York, NY
- NPI 1043571086
-
dba Pediatric Department of Mount Sinai
- Pediatrics Physician
- New York, NY
- NPI 1275802811
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
dba Pulmonary Division of Mount Sinai
- Pulmonary Disease Physician
- New York, NY
- NPI 1518228550
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
dba Mra Physicians,PC
- Internal Medicine Physician
- Valhalla, NY
- NPI 1801841895
Rheumatology
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1215227988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 3000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 98TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-1671"
}
],
"practiceLocations": [
{
"address_1": "19 Bradhurst Ave",
"address_2": "Suite 3090",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "NY",
"postal_code": "105320000",
"country_code": "US",
"telephone_number": "914-372-7887",
"fax_number": "914-372-7884",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19 Bradhurst Ave",
"address_2": "Suite 3090",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "NY",
"postal_code": "105320000",
"country_code": "US",
"telephone_number": "914-372-7887",
"fax_number": "914-372-7884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TASSIULAS",
"first_name": "IOANNIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "233519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.