Individual provider Active NPI

Athena G Kaporis, MD

  • Dermatology Physician
  • Mount Kisco, NY
National Provider Identifier
1861422776
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200780 Issued in NY
Practice address
185 Kisco Ave
Suite 3
Mount Kisco, NY 10549-1409
Phone
(914) 242-2020
Fax
(914) 242-0690
NPI assigned
Jul 4, 2006
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 200780 NY Primary

Addresses

Primary practice location

185 Kisco Ave
Suite 3
Mount Kisco, NY 10549-1409

Mailing address

190 Goldens Bridge Rd
Katonah, NY 10536-2810
Phone (914) 401-8053

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
I20090205000000 NY Practitioner - Dermatology 6406910504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409
Phone (914) 242-2020

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions858
Skin biopsy851

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200780NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Dermatology CurrentSince Apr 1, 2019 Accepting new patients
Westchester Dermatology & Mohs Surgery P C Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

620 E Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 777-5437

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

Networks

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

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1861422776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362810",
            "telephone_number": "914-401-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 KISCO AVE",
            "address_2": "SUITE 3",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491409",
            "telephone_number": "914-242-2020",
            "fax_number": "914-242-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPORIS",
        "first_name": "ATHENA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "200780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.