Nicholas Houlis, D.O.

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

OS16566 Issued in FL

Practice address

2711 N Orange Blossom TRL
Kissimmee, FL 34744-1373

Phone

(407) 380-0302

Fax

(407) 380-5127

NPI assigned

May 19, 2008

Last updated

May 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Hand Surgery

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21769/brand/1/csg/1/fhir/r4
• Direct secure messaging: nicholas.houlis.1@21769.direct.athenahealth.com

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.

• American Hand Surgery Associates, PLLC

  • Surgery of the Hand (Surgery) Physician
  • Kissimmee, FL
  • NPI 1710515119
  Medicare reassignment NPD Authorized official
• Fortis Medical Group, LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1629568159
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1508023466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N ORANGE BLOSSOM TRL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441373",
            "telephone_number": "407-380-0302",
            "fax_number": "407-380-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N ORANGE BLOSSOM TRL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441373",
            "telephone_number": "407-380-0302",
            "fax_number": "407-380-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULIS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09220800",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "OS16566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Medicine Services of FL, LLC
• Nima Mohamadali Hosseinian, MD
• Chad Houchin
• Houghton Health Associates, LLC
• Glenda Rose Houghton, MSN APRN A-GNP-C
• House of Cosmetic Dentistry (Fortune Dental)
• House of Freedom
• House of Freedom
• Housecall Home Health, LLC (Amedisys Home Health)
• Carrie M Houseman, MA

• Surgery of the Hand (Surgery) Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Surgery of the Hand (Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.

Verify at the official NPI Registry.