Nikolaos Sismanopoulos, M.D
NPI 1225393432 · Internal Medicine Physician · Providence, RI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nikolaos Sismanopoulos, M.D is a Internal Medicine Physician provider in Providence, RI (NPI 1225393432).
Provider details
- NPI number
- 1225393432
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD16384 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
313 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 163 | $78 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 74 | $117 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 58 | $113 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 18 | $171 |
Typical Medicare-allowed amounts for these services range $78–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 19 |
| Pantoprazole Sodium | 16 | 15 |
| Amlodipine Besylate | 15 | 15 |
| Oxycodone Hcl | 13 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 736 Cambridge StInternal Medicine Residency Training ProgramBoston, MA 02135-2907Phone: (617) 779-6342
- 593 Eddy StProvidence, RI 02903Phone: (401) 444-3985
Registry dates
- Enumerated
- 2012-07-13
- Last updated
- 2018-11-15
Frequently asked questions
- What is Nikolaos Sismanopoulos's NPI number?
- Nikolaos Sismanopoulos's National Provider Identifier (NPI) is 1225393432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nikolaos Sismanopoulos's specialty?
- Nikolaos Sismanopoulos is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nikolaos Sismanopoulos located?
- Nikolaos Sismanopoulos's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903.
- What is Nikolaos Sismanopoulos's phone number?
- The practice phone number listed in the NPPES registry for Nikolaos Sismanopoulos is (401) 444-3985.
- Does Nikolaos Sismanopoulos accept Medicare?
- Nikolaos Sismanopoulos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nikolaos Sismanopoulos's NPI active?
- Yes — Nikolaos Sismanopoulos's NPI (1225393432) is active in the NPPES registry as of the last update on 2018-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.