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NICHOLAS CONDILES MD
NPI 1558822742
Internal Medicine - Nephrology in New York, NY

Active since March 29, 2019PECOS Enrolled
91.25/100
CMS Quality Rating
100 E 77TH ST, NEW YORK, NY 10075(646) 734-8626 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Condiles Md NPPES

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

NICHOLAS CONDILES MD (NPI 1558822742) is an individual nephrology provider in New York, New York, licensed in West Virginia (1782) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558822742
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNICHOLAS CONDILESCredential: MD
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200
Phone(646) 734-8626
Sole ProprietorNo
Enumeration DateMarch 29, 2019
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1558822742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WV · 1782
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedHospitalistTaxonomy 208M00000X · License 314910 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 E 77TH ST, New York, NY 10075
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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 (PECOS)

Nicholas Condiles Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
291 services124 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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.

MRS. CATHERINE WILLIAMS HALL NURSE PRACTITIONER
Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
MS. PUNAM SHERPA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (646) 752-1480
MARIA PUTILINA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2150
LINDA MANGERA
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
JUSTIN WAN
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-4763
AMANDA JEAN BATTISTA PA
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-2000
SAGAR MULAY
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
New York County (731) 676-2644
REBECCA SAUNDERS AGACNP
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075
New York County (212) 434-6500

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 Condiles's NPI number?

The NPI number for Nicholas Condiles is 1558822742. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Nicholas Condiles located?

Nicholas Condiles practices at 100 E 77th St, New York, NY 10075. The listed phone number is (646) 734-8626.

What is Nicholas Condiles's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nicholas Condiles enrolled in Medicare?

Yes. Nicholas Condiles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Condiles was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.