Individual provider Active NPI

Thomas K Barlis, DPM

  • Podiatrist
  • Astoria, NY
National Provider Identifier
1376540021
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003884 Issued in NY
Practice address
2747 Crescent St
Suite 204
Astoria, NY 11102-3142
Phone
(718) 956-0700
Fax
(718) 956-4582
NPI assigned
Jul 7, 2005
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003884 NY Primary
Podiatrist 213E00000X 25MD00171500 NJ

Addresses

Primary practice location

2747 Crescent St
Suite 204
Astoria, NY 11102-3142

Mailing address

2747 Crescent St
Suite 204
Astoria, NY 11102-3142
Phone (718) 956-0700

Other identifiers 1

IdentifierTypeStateIssuer
0953219MedicaidNY

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
I20040517001400 NY Practitioner - Podiatry 7214927540 Reassigns benefits to 1 organization
Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Footcare Now Podiatry, PLLCGroup PAC ID 1759613912, 7 clinicians

Practice addresses (Care Compare)

2747 Crescent St
Suite 105
Astoria, NY 11102-3142
Phone (718) 956-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions20
Removal of nail tissue94
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3884NYMDAcupuncturist
25MD00171500NJMDPodiatrist
N003884NYMDPodiatrist
003884NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Footcare Now Podiatry, PLLC CurrentSince Mar 30, 2023 Accepting new patients
New York Queens Medicine and Surgery, P.C. Past Accepting new patients

Locations

2747 Crescent St
Ste 105
Astoria, NY 11102
Phone (701) 898-3668

3757 91st St
Jackson Hts, NY 11372
Phone (718) 651-6500

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1376540021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 204",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-956-0700",
            "fax_number": "718-956-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 CRESCENT ST",
            "address_2": "SUITE 204",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023142",
            "telephone_number": "718-956-0700",
            "fax_number": "718-956-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLIS",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003884",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00171500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0953219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.