DR. NICOS NICOLAOU (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1083989859

DR. NICOS NICOLAOU (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 261608 (NY). The NPI Number for DR. NICOS NICOLAOU (M.D.) is 1083989859

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOS NICOLAOU (M.D.)
NPI
1083989859
Phone
(215) 955-4959
Address
132 S 10th St
Enumeration Date
13 March 2012
Last Update Date
30 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8452795187
Graduation Year
2005 (21 years ago)
PAC ID
0547418998
Group Practice PAC ID
6901104157
Professional Enrollment ID
I20120911000006
Address ID
NY105094055BR111XXCMNS400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

897 PATHOLOGY in PA

Provider Addresses for DR. NICOS NICOLAOU (M.D.)

  • 132 S 10th St

    260 Main

    Philadelphia, PA 191075244

    Phone: (215) 955-4959

    Fax: (215) 955-2426

    Type: Location

  • 400 Westage Business Ctr Dr Ste 209

    Fishkill, NY 12524

    Phone: (845) 896-0736

    Fax: (845) 896-5196

    Type: Location

  • 111 CLOCK TOWER CMNS

    BREWSTER, NY 105094055

    Phone: (845) 592-4915

    Fax: (845) 462-8286

    Type: Mailing

  • 400 WESTAGE BUSINESS CTR DR STE 209

    FISHKILL, NY 12524

    Phone: (845) 896-0736

    Fax: (845) 896-5196

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120911000006IPathologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,787490$0
88313Special stained specimen slides to examine tissue including interpretation and report942339$0
88312Special stained specimen slides to identify organisms including interpretation and report818292$0
88341Special stained specimen slides to examine tissue, each additional procedure720330$0
88342Special stained specimen slides to examine tissue, initial procedure369346$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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Provider's Procedures

DR. NICOS NICOLAOU (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYPA88304Pathology examination of tissue using a microscope, moderately low complexity6357
PATHOLOGYPA88307Pathology examination of tissue using a microscope, moderately high complexity7343

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901104157View full group profile
NameSpecialtyState
Nurse PractitionerNY
G A S T R O E N T E R O L O G YNY
G A S T R O E N T E R O L O G YNY
Cardiovascular Disease (Cardiology), Nuclear MedicineNY
-NY
N E U R O L O G YNY
Family PracticeNY
Internal Medicine, Family PracticeNY
Cardiovascular Disease (Cardiology), Internal MedicineNY
-NY

Reviews

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Frequently asked questions

Does DR. NICOS NICOLAOU (M.D.) have a public NPI I can cite?
Public records show DR. NICOS NICOLAOU (M.D.) under NPI 1083989859.
Quick check: is DR. NICOS NICOLAOU (M.D.) active?
Public NPPES data shows DR. NICOS NICOLAOU (M.D.) with an active NPI status right now.
How should patients interpret DR. NICOS NICOLAOU (M.D.)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for DR. NICOS NICOLAOU (M.D.). Clinical services aligned with this taxonomy classification.
Is DR. NICOS NICOLAOU (M.D.) tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, DR. NICOS NICOLAOU (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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