Individual provider Active NPI

Bill A. Tsikitas, M.D.

  • Internal Medicine Physician
  • South Weymouth, MA
National Provider Identifier
1407827033
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
158826 Issued in NY
Practice address
55 Fogg Rd
Hospitalist Program
South Weymouth, MA 02190-2432
Phone
(781) 340-8744
Fax
(781) 682-5627
NPI assigned
Jan 31, 2006
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 158826 NY Primary
Hospitalist Physician 208M00000X 158826 NY

Addresses

Primary practice location

55 Fogg Rd
Hospitalist Program
South Weymouth, MA 02190-2432

Mailing address

100 Marina Dr
Apt. 604
Quincy, MA 02171-1531
Phone (617) 481-2005

Other identifiers 1

IdentifierTypeStateIssuer
00838486MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050420000592 MA Practitioner - Internal Medicine 8820036882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vineyard Medical Care LLCGroup PAC ID 7416279591, 8 clinicians

Practice addresses (Care Compare)

364 State Rd
Vineyard Haven, MA 02568-5624
Phone (508) 693-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158826NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vineyard Medical Care LLC Internal Medicine CurrentSince Aug 30, 2022 Accepting new patients
South End Skin Care, Inc. Past Accepting new patients
Coastal Medical Associates Hospitalist Past Accepting new patients

Locations

364 State Rd
Vineyard Hvn, MA 02568
Phone (508) 693-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFDBD

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 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1407827033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARINA DR",
            "address_2": "APT. 604",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021711531",
            "telephone_number": "617-481-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "address_2": "HOSPITALIST PROGRAM",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902432",
            "telephone_number": "781-340-8744",
            "fax_number": "781-682-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIKITAS",
        "first_name": "BILL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "158826",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "158826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00838486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

Verify at the official NPI Registry.