Dr Nikolaos Sismanopoulos, MD - Medicare Internal Medicine in Providence, RI

Dr Nikolaos Sismanopoulos, MD is a medicare enrolled "Internal Medicine" physician in Providence, Rhode Island. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lifespan Physician Group Inc and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-3985.

Dr Nikolaos Sismanopoulos is licensed to practice in Rhode Island (license number MD16384) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225393432.

Contact Information

Dr Nikolaos Sismanopoulos, MD
593 Eddy St,
Providence, RI 02903
(401) 444-3985
Not Available

Map and Direction




Physician's Profile

Full NameDr Nikolaos Sismanopoulos
GenderMale
SpecialityInternal Medicine
Experience16 Years
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nikolaos Sismanopoulos graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1225393432
  • Provider Enumeration Date: 07/13/2012
  • Last Update Date: 11/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0547550725
  • Enrollment ID: I20181115000061

Medical Identifiers

Medical identifiers for Dr Nikolaos Sismanopoulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225393432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD16384 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082634

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nikolaos Sismanopoulos allows following entities to bill medicare on his behalf.
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nikolaos Sismanopoulos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nikolaos Sismanopoulos, MD
117 Ellenfield St Ste 101,
Providence, RI 02905-4513

Ph: (401) 444-6779
Dr Nikolaos Sismanopoulos, MD
593 Eddy St,
Providence, RI 02903

Ph: (401) 444-3985

Reviews and Comments


Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 245 Chapman St Ste 300, Providence, RI 02905
Phone: 401-444-4741    Fax: 401-444-4445
Karl Herman, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Muhammad Baig, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Gary M Katzman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200
Thomas Fairweather Crain, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4630    
James Atkinson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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