Nicos Nicolaou, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD053676L Issued in PA

Practice address

1 Presidential Blvd
Suite 100
Bala Cynwyd, PA 19004-1017

Phone

(610) 632-4100

Fax

(610) 668-1004

NPI assigned

Jul 21, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Radiation Oncology

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Centers for Advanced Urology LLPGroup PAC ID 3274800941, 142 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.14 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Cost

67.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nnicolaou@imppllc.direct.varian.com
• Direct secure messaging: nicosnicolaou@midlantic.medalliesdirect.net

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.

• Alliance Physician Services, PC

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350
  Medicare reassignment Care Compare group NPD
• Alliance Physician Services, PC / Dba Midlantic Urology

  • Urology Physician
  • King of Prussia, PA
  • NPI 1811351083
  NPD
• Alliance Physician Services, PC

  • Urology Physician
  • Wake Forest, NC
  • NPI 1316811888
  NPD
• Alliance Physician Services, PC /Dba Midlantic Urology

  • Urology Physician
  • Bala Cynwyd, PA
  • NPI 1558889956

  Radiation Oncology

  NPD (past)
• Health Services of Fox Chase Cancer Center

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1144338351
  NPD (past)
• Health Services of Fox Chase Cancer Center

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1568564821
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1619998085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-632-4100",
            "fax_number": "610-668-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-632-4100",
            "fax_number": "610-668-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAOU",
        "first_name": "NICOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD053676L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016207530002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duyen Thi Ngo, DMD
• Katina Nguyen, DDS
• Nice and Noble Solutions LLC
• Lynn Nicholas
• Kameil Lee Nicholson, LCSW
• Kimberly Nissim, LCSW
• Noor Stone Home Care
• Northeastern Eyecare Network
• Angela Raqual Norward
• Noubar a. Didizian M.D.

• Radiation Oncology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.