Individual provider Active NPI

Frank Nikolaidis, DO

  • Anesthesiology Physician
  • Massillon, OH
National Provider Identifier
1770536187
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34006497 Issued in OH
Practice address
400 Austin Ave NW
Massillon, OH 44646-3554
Phone
(330) 837-7200
Fax
(330) 837-7572
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34006497 OH Primary

Addresses

Primary practice location

400 Austin Ave NW
Massillon, OH 44646-3554

Mailing address

PO Box 74994
Cleveland, OH 44194-1077
Phone (614) 430-5724

Other identifiers 3

IdentifierTypeStateIssuer
P00091935OtherMEDICARE RAILROAD
0351711MedicaidOH
000000328570OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160525001038 MD Practitioner - Anesthesiology 3274515580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

6040 Public Landing Rd
Snow Hill, MD 21863-2453
Phone (410) 629-0041

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 641-1100

Hospital & facility affiliations

  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
70.92
Promoting interoperability
98
Improvement activities
40
Cost
71.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006497OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corporation Anesthesiology CurrentSince Apr 16, 2016 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Apr 16, 2016 Accepting new patients
DHSC LLC Past Accepting new patients
Aultman North Canton Medical Group Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

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 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1770536187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74994",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441941077",
            "telephone_number": "614-430-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463554",
            "telephone_number": "330-837-7200",
            "fax_number": "330-837-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKOLAIDIS",
        "first_name": "FRANK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34006497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00091935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351711",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000328570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.