Individual provider Active NPI

Manolis Theodore Tsatsas, M.D.

  • Gynecologic Oncology Physician
  • Fresh Meadows, NY
National Provider Identifier
1790730026
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
203209 Issued in NY
Practice address
16303 Horace Harding Expy
3Rd Floor
Fresh Meadows, NY 11365-1449
Phone
(718) 670-1170
Fax
(516) 437-4167
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 203209 NY Primary

Addresses

Primary practice location

16303 Horace Harding Expy
3Rd Floor
Fresh Meadows, NY 11365-1449

Mailing address

PO Box 27842
New York, NY 10087-7842
Phone (718) 670-1651

Other identifiers 1

IdentifierTypeStateIssuer
01860159MedicaidNY

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
I20110126000948 NY Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 7911186663 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMC OB/GYN Faculty Practice PlanGroup PAC ID 0345274809, 31 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Icahn School of Medicine at Mount SinaiGroup PAC ID 8224282926, 317 clinicians

Practice addresses (Care Compare)

1616 A Voorhies Ave
Brooklyn, NY 11235-3914
Phone (718) 283-8225

256 Mason Ave
B
Staten Island, NY 10305-3408
Phone (718) 226-1293

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8225

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 334-4952

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MMC OB-GYN Faculty Practice Plan CurrentSince Dec 10, 2025 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 26, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 26, 2017 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 1, 2013 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Nov 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Nov 1, 2020 Accepting new patients
North Shore-Lij Medical PC CurrentSince Aug 23, 2022 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Dec 10, 2025 Accepting new patients
Staten Island University Hospital Past Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients
MMC OB/GYN Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

16303 Horace Harding Expy
Fl 3
Fresh Meadows, NY 11365
Phone (718) 445-5100

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

2520 30th Ave
Long Island City, NY 11102
Phone (718) 267-4230

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

300 Community Dr
Plandome, NY 11030

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

256 Mason Ave
#B
Staten Island, NY 10305
Phone (718) 226-6790

Networks

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

Interoperability endpoints

  • Direct secure messaging: mtsatsas15703@nychhc.direct-ci.com

Organizations & group practices 15

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.

View all 15

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1790730026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27842",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877842",
            "telephone_number": "718-670-1651",
            "fax_number": "516-437-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16303 HORACE HARDING EXPY",
            "address_2": "3RD FLOOR",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651449",
            "telephone_number": "718-670-1170",
            "fax_number": "516-437-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSATSAS",
        "first_name": "MANOLIS",
        "middle_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "203209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01860159",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.