Marius Killian Nikolas Ditursi, M.D., PH.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

263723 Issued in NY

Practice address

1495 15TH St
Troy, NY 12180-4302

Phone

(518) 810-4680

NPI assigned

May 1, 2009

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Kathleen Riley Williams Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mditursi1282355@nychhc.direct-ci.com
• Direct secure messaging: marius.ditursi.p1@direct.cwpw.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment NPD
• Marius Killian Nikolas Ditursi MD PC

  • Primary Care Clinic/Center
  • Cohoes, NY
  • NPI 1417391319
  NPD (past) Authorized official
• Boston Childrens Health Physicians LLP

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1477787612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804302",
            "telephone_number": "518-210-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804302",
            "telephone_number": "518-810-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Krouner Rd",
            "address_purpose": "LOCATION",
            "city": "Nassau",
            "state": "NY",
            "postal_code": "121232580",
            "country_code": "US",
            "telephone_number": "518-766-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITURSI",
        "first_name": "MARIUS KILLIAN",
        "middle_name": "NIKOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2009-05-01",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "263723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03519624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATHLEEN",
            "last_name": "WILLIAMS",
            "middle_name": "RILEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Dikant, LCSW
• Jennifer Ann Dinova
• Courtney Dinovo
• Amberrose Eileen Dische, SLP
• Cynthia Jean Disorbo, RN
• Divya Divakaran, MS-CF
• Amelia M Dodge, LCSW
• Kimberly Marie Domalewicz, FNP-BC
• Megan Donahue
• Donna Heffernan MD PLLC

• Pediatrics Physician in Troy, NY
• Providers in Troy, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.