Individual provider Active NPI

Peter Patetsios, M.D., F.A.C.S

  • Specialist
  • Great Neck, NY
National Provider Identifier
1952372963
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
900 Northern Blvd
Suite 140
Great Neck, NY 11021-5337
Phone
(516) 570-6818
Fax
(516) 466-6776
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

900 Northern Blvd
Suite 140
Great Neck, NY 11021-5337

Mailing address

900 Northern Blvd
Suite 140
Great Neck, NY 11021-5337
Phone (516) 570-6818

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
I20060907000057 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 0648274597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Access Care Physician PLLCGroup PAC ID 8224929997, 18 clinicians

Practice addresses (Care Compare)

900 Northern Blvd
Suite 140
Great Neck, NY 11021-5302
Phone (516) 466-6760

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
76.17
Promoting interoperability
99
Improvement activities
40
Cost
67.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)13
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Access Care Physician PLLC CurrentSince Feb 18, 2022 Accepting new patients
Ya-Tseng William Lu, M.D., PLLC Past Accepting new patients
Back Kim MD PC Dba Heartvein Nyc PastSince Jan 19, 2011 Accepting new patients
Renal Focus ASC LLC PastSince Dec 12, 2021 Accepting new patients

Locations

3250 Westchester Ave
Rm 102
Bronx, NY 10461
Phone (718) 518-9000

2060 Utica Ave
Brooklyn, NY 11234
Phone (718) 676-5309

1250 67th St
Brooklyn, NY 11219
Phone (718) 232-2322

960 40th St
Brooklyn, NY 11219
Phone (718) 369-1444

100 Hospital Rd
Ste 203
East Patchogue, NY 11772
Phone (631) 475-6900

11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000

900 Northern Blvd
Ste 140
Great Neck, NY 11021
Phone (516) 466-6760

35 E 110th St
Fl 3
New York, NY 10029
Phone (212) 426-3469

35 E 110th St
#2
New York, NY 10029
Phone (212) 427-9895

403 E 91st St
Fl 2
New York, NY 10128
Phone (212) 427-9895

27005 76th Ave
North New Hyde Pk, NY 11040

20606 Hillside Ave
Queens Village, NY 11427
Phone 7182225999213

Interoperability endpoints

  • Direct secure messaging: peter.patetsios.p28@direct.aac.nextgenshare.com
  • Direct secure messaging: peter.patetsios.p182@direct.aac.nextgenshare.com
  • Direct secure messaging: peter.patetsios.p178@direct.aac.nextgenshare.com

Organizations & group practices 4

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 2

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1952372963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "address_2": "SUITE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215337",
            "telephone_number": "516-570-6818",
            "fax_number": "516-466-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "address_2": "SUITE 140",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215337",
            "telephone_number": "516-570-6818",
            "fax_number": "516-466-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATETSIOS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.