Individual provider Active NPI

John Tsialas, D.O.

  • Family Medicine Physician
  • Syosset, NY
National Provider Identifier
1629008602
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205013 Issued in NY
Practice address
358 Jericho Tpke
Syosset, NY 11791-4544
Phone
(516) 677-9200
Fax
(516) 677-9202
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 205013 NY Primary

Addresses

Primary practice location

358 Jericho Tpke
Syosset, NY 11791-4544

Mailing address

358 Jericho Tpke
Syosset, NY 11791-4544
Phone (516) 677-9200

Other identifiers 1

IdentifierTypeStateIssuer
01863505MedicaidNY

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
I20050131000745 NY Practitioner - Family Practice 7315997921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

585 Merrick Rd
Lynbrook, NY 11563-2311
Phone (516) 764-2273

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205013NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 10, 2016 Accepting new patients
New York Institute of Technology Family Medicine CurrentSince May 1, 2014 Accepting new patients
New York Institute of Technology Family Medicine Current Accepting new patients
New York Institute of Technology Family Medicine CurrentSince May 1, 2014 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 10, 2016 Accepting new patients
Central Brooklyn Medical Group PC Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

267 Carleton Ave
Central Islip, NY 11722
Phone (631) 348-3254

600 Northern Blvd
Greenvale, NY 11548
Phone (516) 686-3849

585 Merrick Rd
Lynbrook, NY 11563
Phone (516) 596-2273

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

358 Jericho Tpke
Syosset, NY 11791
Phone (516) 677-9200

Interoperability endpoints

  • Direct secure messaging: john.tsialas.1@2983.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1629008602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914544",
            "telephone_number": "516-677-9200",
            "fax_number": "516-677-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914544",
            "telephone_number": "516-677-9200",
            "fax_number": "516-677-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIALAS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "205013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01863505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.