Active NPI
Bill A. Tsikitas, M.D.
- Internal Medicine Physician
- South Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 158826
- 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, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00838486 | Medicaid | NY |
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
Enrollment records 1
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
Practice addresses (Care Compare)
364 State Rd
Vineyard Haven, MA 02568-5624
Phone (508) 693-4400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158826 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vineyard Medical Care LLC | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Vineyard Haven, MA
- NPI 1346649886
-
dba South End Dermatology and Skin Care, Inc.
- Procedural Dermatology Physician
- Boston, MA
- NPI 1376721167
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Oak Bluffs, MA
- NPI 1134206386
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.