DR. JOHN SOTIRIADIS MD, PHD
NPI 1659578664
Internal Medicine - Gastroenterology in North Bergen, NJ

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
92.2/100
CMS Quality Rating
9226 KENNEDY BLVD, NORTH BERGEN, NJ 07047(201) 869-9500 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Sotiriadis Md, Phd NPPES

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

DR. JOHN SOTIRIADIS MD, PHD (NPI 1659578664) is an individual gastroenterology provider in North Bergen, New Jersey, licensed in New Jersey (25MA08391400) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Chicago College Of Medicine And Surgery (2004).

NPPES Registry Identity

NPI1659578664
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN SOTIRIADISCredential: MD, PHD
Location Address9226 KENNEDY BLVDNorth Bergen, NJ 07047-5312
Mailing Address9226 Kennedy BlvdNorth Bergen, NJ 07047-5312
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2004
Enumeration DateJuly 2, 2007
Last NPPES UpdateMay 9, 2016
NPI 1659578664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · 25MA08391400
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9226 KENNEDY BLVD, North Bergen, NJ 07047

Accepted Insurance

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. John Sotiriadis Md, Phd 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 ID4385771013
PECOS Enrollment IDI20100428000667
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 12

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.
526 services144 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
523 services57 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
317 services57 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.
176 services152 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.
111 services96 patients
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.
107 services82 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310003
Location7600 River RdNorth Bergen, NJ 07047 · Hudson County
Emergency services Birthing friendly

Carepoint Health-Hoboken University Medical Center

Acute Care Hospitals · Hoboken, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310040
Location308 Willow AveHoboken, NJ 07030 · Hudson County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07047 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

92.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.42
Improvement Activities40
Cost77.45

Reported Quality Measures

Breast Cancer Screening
0%750 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
100%1,166 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
93%3,375 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,986 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%2,139 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,990 patients
Patients screened: 96% · 1,990 patients
0%44 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Podiatrist (Foot & Ankle Surgery)
9226 KENNEDY BLVD, 2ND FLOOR
NORTH BERGEN, NJ 07047
Clinic/Center (Ambulatory Surgical)
9226 KENNEDY BLVD, UNIT A
NORTH BERGEN, NJ 07047
Internal Medicine (Gastroenterology)
9226 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Chiropractor
9226 KENNEDY BLVD, 2ND FLR
NORTH BERGEN, NJ 07047
Orthopaedic Surgery (Sports Medicine)
9226 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Anesthesiology
9226 KENNEDY BLVD, UNIT A
NORTH BERGEN, NJ 07047
Clinic/Center (Ambulatory Surgical)
9226 KENNEDY BLVD, UNIT A
NORTH BERGEN, NJ 07047
Anesthesiology (Pain Medicine)
9226 KENNEDY BLVD, UNIT A
NORTH BERGEN, NJ 07047

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 John Sotiriadis's NPI number?

The NPI number for John Sotiriadis is 1659578664. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is John Sotiriadis located?

John Sotiriadis practices at 9226 Kennedy Blvd, North Bergen, NJ 07047. The listed phone number is (201) 869-9500.

What is John Sotiriadis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Sotiriadis enrolled in Medicare?

Yes. John Sotiriadis 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.

What insurance does John Sotiriadis accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list John Sotiriadis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Sotiriadis affiliated with any hospitals?

According to CMS data, John Sotiriadis is affiliated with Hackensack University Medical Center, Palisades Medical Center and Carepoint Health-Hoboken University Medical Center.

When was this NPI record last updated?

The NPPES record for John Sotiriadis was last updated on May 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.