KELLYANN NIOTIS M.D.
NPI 1124472071
Psychiatry & Neurology - Neurology in New York, NY
About Kellyann Niotis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLYANN NIOTIS M.D. (NPI 1124472071) is an individual neurology provider in New York, New York, licensed in New York (302456) and active in the NPI registry since April 2016. She has opted out of Medicare through January 3, 2027 and remains eligible to order and refer and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kellyann Niotis M.d. 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 January 3, 2025 through January 3, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10021
NEW YORK, NY 10021
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 Kellyann Niotis's NPI number?
The NPI number for Kellyann Niotis is 1124472071. It was assigned to this individual provider in the NPPES registry on April 18, 2016.
Where is Kellyann Niotis located?
Kellyann Niotis practices at 428 E 72nd St Ofc 500, New York, NY 10021. The listed phone number is (212) 746-0226.
What is Kellyann Niotis's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Kellyann Niotis enrolled in Medicare?
No. Kellyann Niotis has opted out of Medicare through January 3, 2027. 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 Kellyann Niotis was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Kellyann Niotis, M.D. · NPI 1124472071
Neurology physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 18, 2016.
## Identity
- **NPI:** 1124472071 (Entity type: Individual)
- **Enumerated:** April 18, 2016
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 302456 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 428 E 72ND ST OFC 500, New York, NY 10021-0600
- **Phone:** (212) 746-0226
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 3, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124472071) · Data from the CMS NPPES public registry.