Individual provider Active NPI

Athanasios G Dousmanis, M.D.

  • Neurology Physician
  • Yonkers, NY
National Provider Identifier
1346331477
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
213793-1 Issued in NY
Practice address
73 Market St
Yonkers, NY 10710-7616
Phone
(914) 831-2970
Fax
(914) 831-2971
NPI assigned
Sep 27, 2006
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 213793-1 NY Primary

Addresses

Primary practice location

73 Market St
Yonkers, NY 10710-7616

Mailing address

73 Market St
Yonkers, NY 10710-7616
Phone (914) 831-2970

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
I20040408001436 NY Practitioner - Neurology 0941294425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
JS Weill Medical College, Cornell University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213793-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Neurology CurrentSince Dec 12, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 12, 2024 Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients

Locations

4 Studio Arc
Bronxville, NY 10708
Phone (914) 337-2022

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

5 Columbus Cir
New York, NY 10019
Phone (212) 265-2828

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

506 Malcolm X Blvd
#522
New York, NY 10037
Phone (212) 491-1583

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

710 W 168th St
Rm 1125A
New York, NY 10032

Networks

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

Interoperability endpoints

  • Direct secure messaging: adousmanis@hiemail.healtheconnections.org
  • Direct secure messaging: agd9001@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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 5

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1346331477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MARKET ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107616",
            "telephone_number": "914-831-2970",
            "fax_number": "914-831-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARKET ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107616",
            "telephone_number": "914-831-2970",
            "fax_number": "914-831-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUSMANIS",
        "first_name": "ATHANASIOS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "213793-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.