Active NPI
Peter Patetsios, M.D., F.A.C.S
- Specialist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Northern Blvd
Suite 140
Great Neck, NY 11021-5302
Phone (516) 466-6760
Hospital & facility affiliations
- Catholic Home Care
- St Francis Hospital - the Heart Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.95 of 100
- Quality
- 76.17
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 13 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Access Care Physician PLLC | Current | Accepting new patients | |
| Ya-Tseng William Lu, M.D., PLLC | Past | Accepting new patients | |
| Back Kim MD PC Dba Heartvein Nyc | Past | Accepting new patients | |
| Renal Focus ASC LLC | Past | 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
- peter.patetsios.p28@direct.aac.nextgenshare.com
- peter.patetsios.p182@direct.aac.nextgenshare.com
- 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.
-
- Vascular & Interventional Radiology Physician
- Brooklyn, NY
- NPI 1235104878
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1326368630
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1952069023
-
- Anesthesiology Physician
- Staten Island, NY
- NPI 1467004556
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.