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DR. NICHOLAS THEODORE KARANIKOLAS M.D.
NPI 1457417297
Urology in Staten Island, NY

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
900 SOUTH AVE, STATEN ISLAND, NY 10314(718) 226-6461 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicholas Theodore Karanikolas M.d. NPPES

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

DR. NICHOLAS THEODORE KARANIKOLAS M.D. (NPI 1457417297) is an individual urology provider in Staten Island, New York, licensed in New York (231957) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1998).

NPPES Registry Identity

NPI1457417297
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. NICHOLAS THEODORE KARANIKOLASCredential: M.D.
Location Address900 SOUTH AVEStaten Island, NY 10314-3418
Mailing Address900 South AveStaten Island, NY 10314-3418 · (718) 226-6461
Phone(718) 226-6461
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1998
Enumeration DateDecember 28, 2006
Last NPPES UpdateNovember 26, 2019
✔ NPI 1457417297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 231957
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
900 SOUTH AVE, Staten Island, NY 10314
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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

Dr. Nicholas Theodore Karanikolas 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 ID4880795897
PECOS Enrollment IDI20070720000456
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.

Areas of Expertise CMS Part B claims 10

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 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.
501 services324 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
142 services114 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
101 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
96 services96 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
81 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services66 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers26 claims2,580 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers21 claims2,160 services$1.41 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers15 claims1,260 services$6.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

MR. ADAM JOSEPH TORRES PA-C
Physician Assistant
900 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (718) 226-6461
DR. MOHAMAD YAGHI DDS
Dentist (General Practice)
900 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (718) 494-2200
AMANDA CATHERINE CAMPANILE PA-C
Physician Assistant
900 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (718) 226-5619
ALFA IMAGING GROUP INC
Specialist
900 SOUTH AVE, SUITE 202,#62
STATEN ISLAND, NY 10314
Richmond County (347) 462-9159
DR. CARMEN A NATALI-AGOSTINI MD
Psychiatry & Neurology (Psychiatry)
900 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (718) 732-7334
SARAH FRIEDMAN M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
900 SOUTH AVE
STATEN ISLAND, NY 10314
Richmond County (718) 226-6550
MS. MARIANA SAVELYEV DDS
Dentist
900 SOUTH AVE, SUITE 301
STATEN ISLAND, NY 10314
Richmond County (718) 494-2200
MRS. ALEXIS NARVAEZ P.A.,-C
Physician Assistant
900 SOUTH AVE, SUITE 103
STATEN ISLAND, NY 10314
Richmond County (718) 226-2950

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 Nicholas Karanikolas's NPI number?

The NPI number for Nicholas Karanikolas is 1457417297. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Nicholas Karanikolas located?

Nicholas Karanikolas practices at 900 South Ave, Staten Island, NY 10314. The listed phone number is (718) 226-6461.

What is Nicholas Karanikolas's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nicholas Karanikolas enrolled in Medicare?

Yes. Nicholas Karanikolas 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 Nicholas Karanikolas affiliated with any hospitals?

According to CMS data, Nicholas Karanikolas is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Karanikolas was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.