NPIMap

Individual provider Active NPI

Kristin R Elias, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1316142888
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
248369 Issued in NY
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(212) 263-5353
NPI assigned
Jun 15, 2007
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 248369 NY Primary

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

166 E 61St St
Apt 9F
New York, NY 10065-8509
Phone (917) 407-7310

Other identifiers 1

IdentifierTypeStateIssuer
248369OtherNYNYS LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110629000112 NY Practitioner - Diagnostic Radiology 8325226046 Reassigns benefits to 2 organizations
I20210315002665 CT Practitioner - Diagnostic Radiology 8325226046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenwich Radiological Group PCGroup PAC ID 9436170263, 11 clinicians

Practice addresses (Care Compare)

49 Lake Ave
Greenwich, CT 06830-4501
Phone (203) 869-6220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.93 of 100Reported as individual
Quality
86.81
Improvement activities
0
Cost
77.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich Radiological Group, PC Diagnostic Radiology CurrentSince Oct 6, 2020 Accepting new patients
New York University CurrentSince Dec 1, 2012 Accepting new patients
New York University CurrentSince Dec 1, 2012 Accepting new patients
Nyumc Radiology Associates Diagnostic Radiology Past Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients

Locations

77 Lafayette Pl
Greenwich, CT 06830
Phone (203) 863-3737

49 Lake Ave
Greenwich, CT 06830
Phone (203) 661-9383

49 Lake Ave
Ste 2
Greenwich, CT 06830
Phone (203) 869-5710

227 Madison St
New York, NY 10002
Phone (212) 238-7000

560 1st Ave
Fl 2
New York, NY 10016
Phone (212) 263-5212

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

660 1st Ave
New York, NY 10016
Phone (212) 263-0001

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

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

Organizations & group practices 5

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 12

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1316142888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E 61ST ST",
            "address_2": "APT 9F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658509",
            "telephone_number": "917-407-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "KRISTIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "248369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "248369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.