Individual provider Active NPI

Mark Plexousakis, DO

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1861644171
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
250199 Issued in NY
Practice address
967 N Broadway
Yonkers, NY 10701-1301
Phone
(914) 966-9787
Fax
(914) 966-9793
NPI assigned
Oct 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 250199 NY
Family Medicine Physician 207Q00000X 250199 NY Primary

Addresses

Primary practice location

967 N Broadway
Yonkers, NY 10701-1301

Mailing address

PO Box 998
Attn: Riverside Management Services Org.
Yonkers, NY 10703-0998
Phone (914) 966-9787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090114000322 NY Practitioner - Emergency MedicinePractitioner - Family Practice 7618030883 Reassigns benefits to 3 organizations
I20161116000270 SC Practitioner - Emergency Medicine 7618030883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

  • Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4393TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Virtualcare Medical Services of Ny PC Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince May 21, 2013 Accepting new patients
Orange Emergency Services PC Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Hilton Head Emergency Physicians, Inc. Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Abercrombie Radiological Consultants Inc PastSince Aug 1, 2021 Accepting new patients

Locations

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

5335 N Kings Hwy
#618
Myrtle Beach, SC 29577
Phone (949) 375-0203

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 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": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1861644171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "address_2": "ATTN: RIVERSIDE MANAGEMENT SERVICES ORG.",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107030998",
            "telephone_number": "914-966-9787",
            "fax_number": "914-966-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-966-9787",
            "fax_number": "914-966-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEXOUSAKIS",
        "first_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "250199",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "250199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.