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ELISABETH DIMITRATOS PA
NPI 1114803954
Physician Assistant - Medical in New York, NY

Active since August 15, 2025PECOS EnrolledAccepts Medicare Assignment
530 1ST AVE STE 9V, NEW YORK, NY 10016(212) 263-0702 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisabeth Dimitratos Pa NPPES

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

ELISABETH DIMITRATOS PA (NPI 1114803954) is an individual medical provider in New York, New York and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114803954
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELISABETH DIMITRATOSCredential: PA
Location Address530 1ST AVE STE 9VNew York, NY 10016-6402
Mailing Address37 Meadow Woods RdGreat Neck, NY 11020-1324 · (516) 790-0700
Phone(212) 263-0702
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1114803954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
530 1ST AVE STE 9V, New York, NY 10016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elisabeth Dimitratos Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941707152
PECOS Enrollment IDI20251006002898
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

DR. STEPHANIE HILARY CHANG MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-0695
MADELINE RAE HOCKENBROCHT CPNP-AC
Nurse Practitioner (Acute Care)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-5989
AMIE JILL KENT
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-0558
DR. JENNIFER ELLIS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-0692
DR. LENA ELIZABETH TRAGER MD
Student in an Organized Health Care Education/Training Program
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (646) 501-0264
ELIAS A ZIAS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-8034
MOLLY BECKER NP
Nurse Practitioner
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (646) 501-0197
ANTONIO CARLOS DA SILVA NP
Nurse Practitioner
530 1ST AVE STE 9V
NEW YORK, NY 10016
New York County (212) 263-7185

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 Elisabeth Dimitratos's NPI number?

The NPI number for Elisabeth Dimitratos is 1114803954. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Where is Elisabeth Dimitratos located?

Elisabeth Dimitratos practices at 530 1st Ave Ste 9V, New York, NY 10016. The listed phone number is (212) 263-0702.

What is Elisabeth Dimitratos's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elisabeth Dimitratos enrolled in Medicare?

Yes. Elisabeth Dimitratos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elisabeth Dimitratos affiliated with any hospitals?

According to CMS data, Elisabeth Dimitratos is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Elisabeth Dimitratos was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.