Individual provider Active NPI

Spyros Tsoumpariotis, DPM

  • Podiatrist
  • Glendale, NY
National Provider Identifier
1417032863
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005288 Issued in NY
Practice address
79-01 Myrtle Ave
Glendale, NY 11385
Phone
(718) 381-2300
Fax
(718) 381-0222
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005288 NY Primary

Addresses

Primary practice location

79-01 Myrtle Ave
Glendale, NY 11385

Mailing address

79-01 Myrtle Ave
Glendale, NY 11385
Phone (718) 381-2300

Other identifiers 7

IdentifierTypeStateIssuer
100157OtherELDERPLAN
1742076OtherUNITED HEALTHCARE
6201419OtherGHI
01765677MedicaidNY
P630868OtherOXFORD
37175POtherHIP
P9410OtherBLUE CROSS BLUE SHIELD

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
I20100205000358 NY Practitioner - Podiatry 1759424245 Reassigns benefits to 1 organization
Practice locations: Astoria, NY; Glendale, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Tsoumpariotis DPM PCGroup PAC ID 5890107528, 3 clinicians

Practice addresses (Care Compare)

7901 Myrtle Ave
Glendale, NY 11385-7441
Phone (718) 381-2300

Merit-based Incentive Payment System (MIPS)

Final score
15.58 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue740
Removal or shaving of skin growth63
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005288NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
S Tsoumpariotis DPM PC Podiatrist CurrentSince Oct 30, 2020 Accepting new patients
Spyros Tsoumpariotis Podiatrist CurrentSince Jan 20, 2009 Accepting new patients
JHMC Diagnostic and Treatment Center Podiatrist Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients

Locations

7901 Myrtle Ave
Glendale, NY 11385
Phone (718) 381-2300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1417032863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-01 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-381-2300",
            "fax_number": "718-381-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-01 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "718-381-2300",
            "fax_number": "718-381-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOUMPARIOTIS",
        "first_name": "SPYROS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "100157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1742076",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6201419",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01765677",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P630868",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "37175P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P9410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.