Individual provider Active NPI

Kalliope Jane Morikis, DO

  • Hospitalist Physician
  • Newburgh, NY
National Provider Identifier
1649577446
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
265857 Issued in NY
Practice address
70 Dubois St
Hospitalist Dept
Newburgh, NY 12550-4851
Phone
(845) 568-2564
Fax
(845) 568-2851
NPI assigned
Feb 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 265857 NY
Hospitalist Physician 208M00000X 265857 NY Primary

Addresses

Primary practice location

70 Dubois St
Hospitalist Dept
Newburgh, NY 12550-4851

Mailing address

70 Dubois St
Hospitalist Dept
Newburgh, NY 12550-4851
Phone (845) 568-2564

Other identifiers 1

IdentifierTypeStateIssuer
03516832MedicaidNY

Other names 1

  • Miss Kalli Jane Morikis Other name

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
I20130401000171 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - Internal Medicine 4486899192 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Newburgh Physician Services PC Hospitalist CurrentSince Oct 1, 2013 Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

Organizations & group practices 1

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": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1649577446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DUBOIS ST",
            "address_2": "HOSPITALIST DEPT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504851",
            "telephone_number": "845-568-2564",
            "fax_number": "845-568-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DUBOIS ST",
            "address_2": "HOSPITALIST DEPT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504851",
            "telephone_number": "845-568-2564",
            "fax_number": "845-568-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIKIS",
        "first_name": "KALLIOPE",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265857",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "265857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03516832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALLI",
            "last_name": "MORIKIS",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.