Individual provider Active NPI

Peter Betzios, DPM

  • Podiatrist
  • Flushing, NY
National Provider Identifier
1316064173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005173 Issued in NY
Practice address
2801 Union St
Flushing, NY 11354-1750
Phone
(718) 762-4700
NPI assigned
Mar 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005173 NY Primary

Addresses

Primary practice location

2801 Union St
Flushing, NY 11354-1750

Mailing address

2801 Union St
Flushing, NY 11354-1750
Phone (718) 762-4700

Other identifiers 3

IdentifierTypeStateIssuer
P594420OtherNYOXFORD
P5213OtherNMBLUE CROSS BLUE SHIELD
6201191OtherNYGHI

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
I20110322000924 NY Practitioner - Podiatry 0648453035 Reassigns benefits to 1 organization
Practice locations: Glendale, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Tsoumpariotis DPM PCGroup PAC ID 5890107528, 3 clinicians

Practice addresses (Care Compare)

7901 Myrtle Ave
Glendale, NY 11385-7441
Phone (718) 381-2300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue408
Removal or shaving of skin growth38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005173NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
S Tsoumpariotis DPM PC Podiatrist CurrentSince Sep 1, 2021 Accepting new patients
Spyros Tsoumpariotis Podiatrist PastSince Sep 1, 2021 Accepting new patients

Locations

7901 Myrtle Ave
Glendale, NY 11385
Phone (718) 381-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316064173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541750",
            "telephone_number": "718-762-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 UNION ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541750",
            "telephone_number": "718-762-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETZIOS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P594420",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P5213",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6201191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.