Individual provider Active NPI

Thomas Lewis Tzikas, M.D.

  • Facial Plastic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1619276102
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
ME70709 Issued in FL
Practice address
526 SE 5TH Ave
Delray Beach, FL 33483-5213
Phone
(561) 330-9500
Fax
(561) 330-8629
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X ME70709 FL Primary

Addresses

Primary practice location

526 SE 5TH Ave
Delray Beach, FL 33483-5213

Mailing address

526 SE 5TH Ave
Delray Beach, FL 33483-5213
Phone (561) 330-9500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150216001299 FL Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 4688999691

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1619276102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SE 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835213",
            "telephone_number": "561-330-9500",
            "fax_number": "561-330-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 SE 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835213",
            "telephone_number": "561-330-9500",
            "fax_number": "561-330-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZIKAS",
        "first_name": "THOMAS",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME70709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.