Active NPI
John Tsialas, D.O.
- Family Medicine Physician
- Syosset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 205013
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01863505 | Medicaid | NY |
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
- 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 205013 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| New York Institute of Technology | Family Medicine | Current | Accepting new patients |
| New York Institute of Technology | Family Medicine | Current | Accepting new patients |
| New York Institute of Technology | Family Medicine | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Family Medicine Physician
- Old Westbury, NY
- NPI 1821048612
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1730491945
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Family Medicine Physician
- Central Islip, NY
- NPI 1992738538
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1760003248
-
- Allergy Physician
- New York, NY
- NPI 1689627184
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.