M JOSEPH VITOULIS DO
NPI 1154402030
Family Medicine in Lynbrook, NY

Q: What is M Vitoulis's NPI number?

The NPI number for M Vitoulis is 1154402030. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is M Vitoulis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for M Vitoulis was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 18, 2006PECOS Enrolled

120 BROADWAY, LYNBROOK, NY 11563(516) 593-0406(516) 593-0406 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About M Joseph Vitoulis Do NPPES

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

M JOSEPH VITOULIS DO (NPI 1154402030) is an individual family medicine provider in Lynbrook, New York, licensed in New York (205528) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1995).

NPPES Registry Identity

NPI1154402030

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameM JOSEPH VITOULISCredential: DO

Location Address120 BROADWAYLynbrook, NY 11563

Mailing Address120 BroadwayLynbrook, NY 11563 · (516) 593-0406 · Fax (516) 593-0406

Phone(516) 593-0406

Fax(516) 593-0406

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1995

Enumeration DateOctober 18, 2006

Last NPPES UpdateSeptember 7, 2022

NPPES CertifiedSeptember 7, 2022

✔ NPI 1154402030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 205528

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 205528 (NY)

120 BROADWAY, Lynbrook, NY 11563

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Other Identifiers 1

Medicaid01918905NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M Joseph Vitoulis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153475090

PECOS Enrollment IDI20090812000448

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.

Medicare Billing Reassignments

Medicare enrollment records show M Vitoulis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Joseph Vitoulis D.O.,p.C.

Same address

Family Medicine

120 BROADWAY
Lynbrook, NY 11563

Reassigned Medicare billing, New York enrollment

NPI 1497956387 (516) 599-9355

Chs Physician Partners, PC

1.3 mi

Internal Medicine

1490 BROADWAY, 2ND FLOOR
Hewlett, NY 11557

Reassigned Medicare billing, New York enrollment
944 clinicians in this Medicare group

NPI 1710222096 (516) 569-2900

South Shore Family Medical Associates, P.C.

4.4 mi

Family Medicine

271 DOUGHTY BLVD
Inwood, NY 11096

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: South Shore Family Medical Associates PC
24 clinicians in this Medicare group

NPI 1720122716 (516) 371-6884

Ahava Medical And Rehabilitation Center, LLC

14 mi

Rehabilitation Practitioner

2555 NOSTRAND AVE
Brooklyn, NY 11210

Reassigned Medicare billing, New York enrollment
279 clinicians in this Medicare group

NPI 1184878274 (718) 951-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

169 services64 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

47 services47 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.

41 services41 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

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