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DR. JOHN VLATTAS MD
NPI 1063414852
Physical Medicine & Rehabilitation - Pain Medicine in Bayside, NY

Active since August 11, 2005Opted out of Medicare · through Oct 1, 2026
21316 39TH AVE, BAYSIDE, NY 11361(718) 229-7800(718) 279-7470 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Vlattas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN VLATTAS MD (NPI 1063414852) is an individual pain medicine provider in Bayside, New York, licensed in New York (195684) and active in the NPI registry since August 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063414852
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. JOHN VLATTASCredential: MD
Location Address21316 39TH AVEBayside, NY 11361-2045
Mailing Address21316 39th AveBayside, NY 11361-2045 · (718) 229-7800 · Fax (718) 279-7470
Phone(718) 229-7800
Fax(718) 279-7470
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateAugust 13, 2013
✔ NPI 1063414852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NY · 195684
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

21316 39TH AVE, Bayside, NY 11361
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Other Identifiers 3

Other195684-6NY · License
Medicare PIN05862PNY
Medicare UPING03614NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Vlattas Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
110 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services21 patients
Injection, lidocaine hcl for intravenous infusion, 10 mg J2001
Lidocaine HCL is a medication used to decrease pain or discomfort. In this procedure, it's given through an IV infusion, which means it's slowly injected into your vein. It's often used during minor surgeries or procedures to help keep you comfortable.
21 services14 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENN ERNEST CABILDO PT
Physical Therapist
21316 39TH AVE
BAYSIDE, NY 11361
Queens County (718) 229-7800
PHYSICIANS MEDICAL REHABILITATION ASSOCIATES, PLLC
Physical Medicine & Rehabilitation
21316 39TH AVE
BAYSIDE, NY 11361
Queens County (718) 229-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Vlattas's NPI number?

The NPI number for John Vlattas is 1063414852. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is John Vlattas located?

John Vlattas practices at 21316 39th Ave, Bayside, NY 11361. The listed phone number is (718) 229-7800.

What is John Vlattas's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is John Vlattas enrolled in Medicare?

No. John Vlattas has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Vlattas was last updated on August 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.