Individual provider Active NPI

John Boldog Smirniotopoulos, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1841618667
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
280897 Issued in NY
Practice address
525 East 68TH Street
Interventional Radiology
New York, NY 10065
Phone
(202) 415-0142
NPI assigned
Mar 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 280897 NY
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 280897 NY Primary

Addresses

Primary practice location

525 East 68TH Street
Interventional Radiology
New York, NY 10065

Mailing address

525 East 68TH Street
Department of Vascular and Interventional Radiology
New York, NY 10065
Phone (202) 415-0142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200805001046 NY Practitioner - Diagnostic Radiology 4082952296 Reassigns benefits to 2 organizations
I20210317000667 MD Practitioner - Diagnostic Radiology 4082952296 Reassigns benefits to 2 organizations
I20210317001594 DC Practitioner - Diagnostic Radiology 4082952296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3200

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Cornell Imaging at New York Presbyterian Diagnostic Radiology CurrentSince Aug 10, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Weill Cornell Medical Imaging Diagnostic Radiology CurrentSince Aug 10, 2020 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 2, 2020 Accepting new patients
Weill Medical College of Cornell Diagnostic Radiology CurrentSince Jul 2, 2020 Accepting new patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Networks

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

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1841618667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET",
            "address_2": "DEPARTMENT OF VASCULAR AND INTERVENTIONAL RADIOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "202-415-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST 68TH STREET",
            "address_2": "INTERVENTIONAL RADIOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "202-415-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRNIOTOPOULOS",
        "first_name": "JOHN",
        "middle_name": "BOLDOG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-29",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "280897",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "280897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.