Individual provider Active NPI

Nicholas Sikalas, M.D.

  • Vascular Surgery Physician
  • Stony Brook, NY
National Provider Identifier
1720307002
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
270038 Issued in NY
Practice address
Stony Brook University Hospital
Health Sciences Tower,Level 19, Rm090
Stony Brook, NY 11790
Phone
(631) 444-1279
Fax
(631) 444-8824
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 270038 NY Primary

Addresses

Primary practice location

Stony Brook University Hospital
Health Sciences Tower,Level 19, Rm090
Stony Brook, NY 11790

Mailing address

PO Box 1554
CPMP
Stony Brook, NY 11790
Phone (631) 444-1279

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsikalas315090@nyumc.direct-ci.com Direct

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
I20150925000825 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 5193033074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
State University of New York Downstate Medical Center, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical Group at Huntington PCGroup PAC ID 7214357086, 46 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

2001 Marcus Ave
Suite S50
New Hyde Park, NY 11042-1039
Phone (516) 328-9800

250 E Main St
Bay Shore, NY 11706-8402
Phone (631) 470-1540

Hospital & facility affiliations

  • Plainview Hospital Hospital, Plainview, NY, CCN 330331
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal43
Leg revascularization (restoring blood flow)35
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 9, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jan 1, 2023 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 1, 2023 Accepting new patients
North Shore-Lij Medical Group at Huntington PC Vascular Surgery CurrentSince Feb 7, 2025 Accepting new patients
New York University CurrentSince Sep 9, 2019 Accepting new patients
South Shore University Hospital Past Accepting new patients

Locations

250 E Main St
Bay Shore, NY 11706
Phone (631) 390-7100

250 E Main St
Ste 1
Bay Shore, NY 11706
Phone (631) 390-7100

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

200 Old Country Rd
Ste 120
Mineola, NY 11501
Phone (516) 633-1220

2001 Marcus Ave
Ste S50
New Hyde Park, NY 11042
Phone (516) 355-2277

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

300 Community Dr
Plandome, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: nsikalas315090@nyumc.direct-ci.com
  • Direct secure messaging: nicholassikalas@nslijmedgr.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1720307002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "address_2": "CPMP",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-444-1279",
            "fax_number": "631-444-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "HEALTH SCIENCES TOWER,LEVEL 19, RM090",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-444-1279",
            "fax_number": "631-444-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKALAS",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "270038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsikalas315090@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Old Country Rd Ste 120",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115014237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.