Individual provider Active NPI

Stylianos P Papadakos, M.D.

  • Interventional Cardiology Physician
  • Bayside, NY
National Provider Identifier
1487653051
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
204072 Issued in NY
Practice address
44-01 Francis Lewis Boulevard
Suite L3A
Bayside, NY 11361-3002
Phone
(718) 423-3355
Fax
(718) 423-3721
NPI assigned
Jul 18, 2005
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 204072 NY Primary

Addresses

Primary practice location

44-01 Francis Lewis Boulevard
Suite L3A
Bayside, NY 11361-3002

Mailing address

44-01 Francis Lewis Boulevard
Suite L3A
Bayside, NY 11361-3002
Phone (718) 423-3355

Other identifiers 1

IdentifierTypeStateIssuer
01851629MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spapadakos80310@nyumc.direct-ci.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118001293 NY Practitioner - Cardiovascular Disease (Cardiology) 4981668811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204072NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2013 Accepting new patients
New York University CurrentSince Aug 1, 2013 Accepting new patients
Cardiovascular Associates of New York, P.C. Past Accepting new patients
Booth Medical Associates PC Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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 7

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1487653051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-01 FRANCIS LEWIS BOULEVARD",
            "address_2": "SUITE L3A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613002",
            "telephone_number": "718-423-3355",
            "fax_number": "718-423-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-01 FRANCIS LEWIS BOULEVARD",
            "address_2": "SUITE L3A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613002",
            "telephone_number": "718-423-3355",
            "fax_number": "718-423-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADAKOS",
        "first_name": "STYLIANOS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "204072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01851629",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spapadakos80310@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "44-01 Francis Lewis Boulevard",
            "address_2": "Suite L3A",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113613002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.