Nicholas Frank Hrisomalos, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

01032013B Issued in IN

Practice address

10300 N Illinois St
Suite1070
Indianapolis, IN 46290-1167

Phone

(317) 817-1500

Fax

(317) 817-1511

NPI assigned

Oct 24, 2005

Last updated

Oct 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Ophthalmology

Education

Indiana University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicholas F. Hrisomalos MD, PCGroup PAC ID 8628291333, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nicholas F Hrisomalos MD PC

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1508277542

  Retina Specialist

  Medicare reassignment Care Compare group NPD
• Fort Wayne Retina, P.C.

  • Ophthalmology Physician
  • Carmel, IN
  • NPI 1053358614
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692

  Retina Specialist

  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1568452340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST",
            "address_2": "SUITE1070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901167",
            "telephone_number": "317-817-1500",
            "fax_number": "317-817-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 N ILLINOIS ST",
            "address_2": "SUITE1070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901167",
            "telephone_number": "317-817-1500",
            "fax_number": "317-817-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRISOMALOS",
        "first_name": "NICHOLAS",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IN",
            "license": "01032013B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "IN1940",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228280",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Hoyt, CAPRC 1
• Warren J Hoyt, MD
• HP Marion County Home Health, Inc. (Prime Care Home Health Services)
• HP Pleasant Run, Inc. (The Manor at Southport)
• Frank N. Hrisomalos, MD
• Ivelina Hristova, MD
• HRT in PC (Ageless Men's Health)
• Melissa Dawn Hruby, DO
• HSC Services
• Eugene C Hsiao, M.D.

• Retina Specialist (Ophthalmology) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Retina Specialist (Ophthalmology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.