Individual provider Active NPI

Mara Selene Karamitopoulos, MD

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1538362298
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MT186052 Issued in PA
Practice address
1015 Walnut St
Suite 801
Philadelphia, PA 19107-5005
Phone
(215) 977-1500
NPI assigned
Jun 8, 2007
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT186052 PA Primary

Addresses

Primary practice location

1015 Walnut St
Suite 801
Philadelphia, PA 19107-5005

Mailing address

1600 Arch St Apt 1011
Philadelphia, PA 19103-2009
Phone (215) 313-6434

Other practice location 1

301 E 17th St
New York, NY 10003-3804
Phone (212) 598-6624

Other identifiers 1

IdentifierTypeStateIssuer
MT186052OtherPAMEDICAL TRAINING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkaramitopoulos134997@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
I20111123000327 NY Practitioner - Orthopedic Surgery 3375717671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2005
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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186052PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Apr 1, 2014 Accepting new patients
New York University CurrentSince Sep 1, 2016 Accepting new patients
New York University Orthopaedic Surgery CurrentSince Sep 1, 2016 Accepting new patients
Comprehensive Rehabilitation Medicine P.C. PastSince Feb 10, 2015 Accepting new patients
Maimonides Medical Center Orthopaedic FPP Orthopaedic Surgery Past Accepting new patients
Pathology Consultants of Brooklyn Past Accepting new patients
Orthopedic Associates, P.C. PastSince Apr 23, 2012 Accepting new patients
Sclafani-Vitale, MD PC Orthopaedic Surgery Past Accepting new patients
Maimonides Bone and Joint Faculty Practice Physical Therapy Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

1301 57th St
Brooklyn, NY 11219
Phone (718) 283-3640

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
#7
Brooklyn, NY 11204
Phone (718) 283-8927

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

305 2nd Ave
Ste 19
New York, NY 10003
Phone (212) 460-0174

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

Interoperability endpoints

  • Direct secure messaging: mkaramitopoulos134997@nyumc.direct-ci.com
  • Direct secure messaging: mkaramitopoulos677545@nychhc.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1538362298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ARCH ST APT 1011",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032009",
            "telephone_number": "215-313-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WALNUT ST",
            "address_2": "SUITE 801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075005",
            "telephone_number": "215-977-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 17th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033804",
            "country_code": "US",
            "telephone_number": "212-598-6624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAMITOPOULOS",
        "first_name": "MARA",
        "middle_name": "SELENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT186052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINING LICENSE",
            "identifier": "MT186052",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkaramitopoulos134997@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "301 E 17th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100033804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.