Individual provider Active NPI

Vasiliki Karlis, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1700947793
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
042190 Issued in NY
Practice address
222 E 41St St
FL 22
New York, NY 10017-6739
Phone
(212) 263-5677
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 042190 NY Primary

Addresses

Primary practice location

222 E 41St St
FL 22
New York, NY 10017-6739

Mailing address

1407 King St
Greenwich, CT 06831-2519

Other practice location 1

4 Dearfield Dr Ste 205
Greenwich, CT 06831-5351
Phone (203) 717-1222

Other identifiers 1

IdentifierTypeStateIssuer
01412028MedicaidNY

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
I20040522000174 NY Practitioner - Oral Surgery 0345231825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Tufts University School of Dental Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

222 E 41St St
FL 22
New York, NY 10017-6739
Phone (212) 263-7552

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Feb 1, 2021 Accepting new patients
New York University CurrentSince Feb 1, 2021 Accepting new patients
New York City Health and Hospitals Corporation Oral and Maxillofacial Surgery Past Accepting new patients
New York University Past Accepting new patients

Locations

726 Broadway
Ste 350
New York, NY 10003
Phone (212) 443-1300

530 1st Ave
Ste 9QQ
New York, NY 10016
Phone (212) 263-5677

222 E 41st St
Fl 22
New York, NY 10017
Phone (212) 263-7552

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: vkarlis677554@nychhc.direct-ci.com
  • Direct secure messaging: vkarlis144184@direct.ynhh.org

Organizations & group practices 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1700947793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 KING ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068312519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 41ST ST",
            "address_2": "FL 22",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176739",
            "telephone_number": "212-263-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Dearfield Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068315351",
            "country_code": "US",
            "telephone_number": "203-717-1222",
            "fax_number": "203-717-1224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARLIS",
        "first_name": "VASILIKI",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "042190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01412028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.