Active NPI
Alexandra Kyrillos, MD
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 327829-01
- Practice address
- 4 W 58TH St FL 9
New York, NY 10019-2515 - Phone
- (929) 480-5400
- NPI assigned
- Apr 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 327829-01 | NY | Primary |
Addresses
Primary practice location
4 W 58TH St FL 9
New York, NY 10019-2515
Mailing address
4 W 58TH St FL 9
New York, NY 10019-2515
Phone (929) 480-5400
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
- Obstetrics/Gynecology
- Education
- Georgetown University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327829-01 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
1000 10th Ave
Ste 2A10R
New York, NY 10019
Phone (212) 523-8366
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- akyrillos29025@northwell.direct-ci.com
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": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1770112401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W 58TH ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192515",
"telephone_number": "929-480-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W 58TH ST FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100192515",
"telephone_number": "929-480-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYRILLOS",
"first_name": "ALEXANDRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-04",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "327829-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.