Active NPI
Vasilios Kalonaros, M.D.
- Internal Medicine Physician
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 183593
- Practice address
- 50 Karl Ave Ste 301
Smithtown, NY 11787-2744 - Phone
- (631) 239-1677
- Fax
- (631) 724-3967
- NPI assigned
- May 2, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 183593 | NY | Primary |
Addresses
Primary practice location
50 Karl Ave Ste 301
Smithtown, NY 11787-2744
Mailing address
50 Karl Ave Ste 301
Smithtown, NY 11787-2744
Phone (631) 239-1677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W34601 | Other | NY | GROUP UPIN |
| 01201490 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1019 Fort Salonga Rd
Suite 101
Northport, NY 11768-2270
Phone (631) 262-1314
Hospital & facility affiliations
- Catholic Home Care
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183593 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Suffolk Medical Associates, P.C. | Current | Accepting new patients |
Locations
1019 Fort Salonga Rd
Ste 101
Northport, NY 11768
Phone (516) 262-1314
50 Karl Ave
Ste 301
Smithtown, NY 11787
Phone (631) 239-1677
Interoperability endpoints
- vasilios.kalonaros.1@13301.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Smithtown, NY
- NPI 1639216476
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1376501296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 KARL AVE STE 301",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872744",
"telephone_number": "631-239-1677",
"fax_number": "631-724-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 KARL AVE STE 301",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872744",
"telephone_number": "631-239-1677",
"fax_number": "631-724-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALONAROS",
"first_name": "VASILIOS",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "183593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP UPIN",
"identifier": "W34601",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01201490",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.