DR. MICHAEL DIMITRIOS KARACHALIOS M.D. NPI 1013142348

Radiology (Diagnostic Radiology) in Mineola, NY

NPI 1013142348 Individual Male Years of Experience 13 Radiology Diagnostic Radiology PECOS Enrolled May Accept Medicare Approved Payment

About MICHAEL KARACHALIOS

Michael Karachalios is a provider established in Mineola, New York and his medical specialization is radiology (diagnostic radiology) with more than 13 years of experience. The NPI number of Michael Karachalios is 1013142348 and was assigned on May 2009. The practitioner's primary taxonomy code is 2085R0202X with license number 273623 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Michael Karachalios is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Michael Karachalios is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with San Joaquin General Hospital, Northeastern Nevada Regional Hospital and Hudson Regional Hospital.

NPI

1013142348

Provider NameDR. MICHAEL DIMITRIOS KARACHALIOS M.D.
Provider Location Address140 OLD COUNTRY RD APT.# 154 MINEOLA, NY 11501
Provider Mailing Address140 OLD COUNTRY RD APT.# 154 MINEOLA, NY 11501
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-15-2009
Last Update Date01-31-2017


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.273623
License StateNY
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. MICHAEL DIMITRIOS KARACHALIOS M.D.
140 OLD COUNTRY RD
APT.# 154
MINEOLA, NY
ZIP 11501
Phone: (516) 263-9379

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Mailing Address

DR. MICHAEL DIMITRIOS KARACHALIOS M.D.
140 OLD COUNTRY RD
APT.# 154
MINEOLA, NY
ZIP 11501
Phone: (516) 263-9379



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6305149733
PECOS Enrollment IDI20160119002189, I20180122000913, I20180410001799, I20190615000282, I20191213000935, I20210312000809
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 29X-ray of chest, 1 view, front (HCPCS:71010)
  • 15X-ray of chest, 2 views, front and side (HCPCS:71020)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Karachalios is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SAN JOAQUIN GENERAL HOSPITAL500 W HOSPITAL ROAD
FRENCH CAMP, CA 95231
(209) 468-6000Acute Care Hospitals50167
NORTHEASTERN NEVADA REGIONAL HOSPITAL2001 ERRECART BLVD
ELKO, NV 89801
(775) 738-5151Acute Care Hospitals290008
HUDSON REGIONAL HOSPITAL55 MEADOWLANDS PKWY
SECAUCUS, NJ 7094
(201) 392-3200Acute Care Hospitals310118

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215382130 SAMANTHA EZRIN
Individual
Specialist140 OLD COUNTRY RD APT 118
MINEOLA, NY 11501
(516) 220-8985

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.