Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alexis Kassotis, MD

Individual provider Ophthalmic Plastic and Reconstructive Surgery Physician · NPI 1104406560

Dr. Alexis Kassotis, MD is an Ophthalmology in New York, New York. Graduated from Columbia University College of Physicians and Surgeons in 2021, 5 years ago. Practices with Weill Medical College of Cornell, a 2,031-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1305 York Ave
New York, NY 10021-5663
Phone: (646) 962-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 635 W 165th St, New York, NY 10032-3724 — (212) 305-2725
  • 525 E 68th St, New York, NY 10065-4870 — (646) 962-5700

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 334908 (NY)
Ophthalmic Plastic and Reconstructive Surgery Physician Taxonomy 207WX0200X · Licence 334908 (NY)

Record details

NPI number1104406560
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 10, 2021
Last updated in NPPESAugust 3, 2025
Certification dateAugust 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2021 (5 years in practice)
Group practice Weill Medical College Of Cornell — 2031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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