Individual provider Active NPI

Christos Iakovou, M.D.

  • Pulmonary Disease Physician
  • Oakland Gardens, NY
National Provider Identifier
1265512446
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
171683 Issued in NY
Practice address
5806 Francis Lewis Blvd
1St FL
Oakland Gardens, NY 11364-1637
Phone
(718) 224-8900
Fax
(718) 224-5184
NPI assigned
Oct 16, 2006
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 171683 NY
Pulmonary Disease Physician 207RP1001X 171683 NY Primary

Addresses

Primary practice location

5806 Francis Lewis Blvd
1St FL
Oakland Gardens, NY 11364-1637

Mailing address

5806 Francis Lewis Blvd
1St FL
Oakland Gardens, NY 11364-1637
Phone (718) 224-8900

Other identifiers 1

IdentifierTypeStateIssuer
01134707MedicaidNY

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
I20040407000961 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2860485547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

1111 Marcus Ave
New Hyde Park, NY 11042-1034

3016 30TH Dr
Astoria, NY 11102-1874
Phone (516) 723-2663

3016 30TH Dr
Astoria, NY 11102-1890

5806 Francis Lewis Blvd
Oakland Gardens, NY 11364-1637
Phone (718) 224-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients

Locations

2318 31st St
Ste 200
Astoria, NY 11105
Phone (718) 545-4450

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

300 Community Dr
Manhasset, NY 11030

27005 76th Ave
North New Hyde Pk, NY 11040

5806 Francis Lewis Blvd
#1
Oakland Gardens, NY 11364

5806 Francis Lewis Blvd
Oakland Gardens, NY 11364

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: chi9013@direct.nyp.org
  • Direct secure messaging: christosiakovou@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1265512446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 FRANCIS LEWIS BLVD",
            "address_2": "1ST FL",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641637",
            "telephone_number": "718-224-8900",
            "fax_number": "718-224-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 FRANCIS LEWIS BLVD",
            "address_2": "1ST FL",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113641637",
            "telephone_number": "718-224-8900",
            "fax_number": "718-224-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAKOVOU",
        "first_name": "CHRISTOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "171683",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "171683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01134707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

Verify at the official NPI Registry.