DR. SOTERI POLYDOROU M.D.
NPI 1194866061
Internal Medicine - Addiction Medicine in New York, NY

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
462 1ST AVE, NEW YORK, NY 10016(212) 562-4141 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jan 11, 2018 (2 updates tracked since 2018).

About Dr. Soteri Polydorou M.d. NPPES

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

DR. SOTERI POLYDOROU M.D. (NPI 1194866061) is an individual addiction medicine provider in New York, New York, licensed in New York (240466) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1194866061
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. SOTERI POLYDOROUCredential: M.D.
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address462 1st AveNew York, NY 10016-9196 · (212) 562-4141
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1194866061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in NY · 240466
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 240466 (NY)
462 1ST AVE, New York, NY 10016

Secondary Practice Location 1

Location 11051 Riverside Dr Ofc 3736, Columbia University Medical CenterNew York, NY 10032-1007 · Phone (212) 543-6709 · Fax (212) 543-6018

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

Dr. Soteri Polydorou M.d. 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 ID7012275712
PECOS Enrollment IDI20200114002600
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.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
Social Worker
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016

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 Soteri Polydorou's NPI number?

The NPI number for Soteri Polydorou is 1194866061. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Soteri Polydorou located?

Soteri Polydorou practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-4141.

What is Soteri Polydorou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Soteri Polydorou enrolled in Medicare?

Yes. Soteri Polydorou 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 Soteri Polydorou affiliated with any hospitals?

According to CMS data, Soteri Polydorou is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Soteri Polydorou was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.