Individual provider Active NPI

Thomas A Scilaris, M.D.

  • Orthopaedic Surgery Physician
  • New York, NY
National Provider Identifier
1619073368
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
213911-1 Issued in NY
Practice address
39 E 69TH St
New York, NY 10021-4917
Phone
(212) 744-1121
Fax
(212) 744-8494
NPI assigned
Sep 16, 2006
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA08643900 NJ
Orthopaedic Surgery Physician 207X00000X 213911-1 NY Primary

Addresses

Primary practice location

39 E 69TH St
New York, NY 10021-4917

Mailing address

39 E 69TH St
New York, NY 10021-4917
Phone (212) 744-1121

Other identifiers 1

IdentifierTypeStateIssuer
20-1885022OtherNYTAX IDENTIFICATION NUMBER

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
I20060109000415 NY Practitioner - Orthopedic Surgery 3779506431 Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08643900NJMDOrthopaedic Surgery Physician
213911-1NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park West Surgical Group LLC Orthopaedic Surgery Current Accepting new patients
Pension Committee Joint Industry Board Past Accepting new patients
Lynx Ipa LLC PastSince Jun 18, 2021 Accepting new patients
Cto Management PastSince Jan 2, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tscilaris67217@northwell.direct-ci.com

Organizations & group practices 5

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1619073368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214917",
            "telephone_number": "212-744-1121",
            "fax_number": "212-744-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 69TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214917",
            "telephone_number": "212-744-1121",
            "fax_number": "212-744-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCILARIS",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA08643900",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "213911-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "20-1885022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.