Individual provider Active NPI

Nicholas Megdanis, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bayside, NY
National Provider Identifier
1699851899
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N004326 Issued in NY
Practice address
4401 Francis Lewis Blvd
Suite L3B
Bayside, NY 11361-3002
Phone
(718) 229-0222
Fax
(718) 717-0275
NPI assigned
Oct 31, 2006
Last updated
Aug 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N004326 NY Primary
Foot Surgery Podiatrist 213ES0131X N004326 NY

Addresses

Primary practice location

4401 Francis Lewis Blvd
Suite L3B
Bayside, NY 11361-3002

Mailing address

PO Box 610406
Bayside, NY 11361-0406
Phone (718) 229-0222

Other identifiers 1

IdentifierTypeStateIssuer
010499558MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000439 NY Practitioner - Podiatry 3072688779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Queens Podiatry PLLCGroup PAC ID 5698840395, 2 clinicians

Practice addresses (Care Compare)

4401 Francis Lewis Blvd
L3
Bayside, NY 11361-3002
Phone (718) 229-0222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue201
Removal of skin lesions1-10
Removal of nail tissue555
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004326NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Queens Podiatry PLLC Primary Podiatric Medicine CurrentSince Apr 1, 2008 Accepting new patients
Greater Queens Podiatry Primary Podiatric Medicine Past Accepting new patients
Pinnacle Physical Medicine and Rehabilitation PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nim9073@direct.nyp.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1699851899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610406",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113610406",
            "telephone_number": "718-229-0222",
            "fax_number": "718-717-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD",
            "address_2": "SUITE L3B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613002",
            "telephone_number": "718-229-0222",
            "fax_number": "718-717-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGDANIS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004326",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004326",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010499558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.