Active NPI
Triantafillos John Fillos, M.D.
- Hematology & Oncology Physician
- Bayside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 237195
- Practice address
- 4564 Francis Lewis Blvd Ste 202
Bayside, NY 11361-3085 - Phone
- (631) 751-3000
- Fax
- (631) 509-6559
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 237195 | NY | Primary |
Addresses
Primary practice location
4564 Francis Lewis Blvd Ste 202
Bayside, NY 11361-3085
Mailing address
1500 Route 112
BLDG 4
Port Jefferson Station, NY 11776-8055
Phone (631) 751-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4564 Francis Lewis Blvd
Suite 202
Bayside, NY 11361-3047
Phone (631) 751-3000
Hospital & facility affiliations
- North Shore University Hospital
- Long Island Jewish Medical Center
- St Francis Hospital - the Heart Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients |
Locations
4564 Francis Lewis Blvd
Ste 202
Bayside, NY 11361
285 Sills Rd
Bldg 17
East Patchogue, NY 11772
Phone (631) 654-5566
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
6118 190th St
Fresh Meadows, NY 11365
Phone (717) 454-0842
9319 Roosevelt Ave
Jackson Hts, NY 11372
Phone (718) 205-4900
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
1 Delaware Dr
New Hyde Park, NY 11042
Phone (516) 336-5255
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1598863458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ROUTE 112",
"address_2": "BLDG 4",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117768055",
"telephone_number": "631-751-3000",
"fax_number": "631-509-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4564 FRANCIS LEWIS BLVD STE 202",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613085",
"telephone_number": "631-751-3000",
"fax_number": "631-509-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLOS",
"first_name": "TRIANTAFILLOS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "237195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.