Panagiotis J Tsakalakis, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME0051745 Issued in FL

Practice address

1620 Medical LN
Suite 100
Ft Myers, FL 33907-1143

Phone

(239) 275-1164

Fax

(239) 275-5212

NPI assigned

Jan 11, 2006

Last updated

Jan 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Pathology Associates IncGroup PAC ID 0143749291, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Pathology Associates, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1346044161
  Medicare reassignment Care Compare group NPD
• Ameripath Hospital Services-Florida LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Clermont, FL
  • NPI 1124091509
  Medicare reassignment NPD
• Ameripath Hospital Services-Florida LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1255304689
  NPD
• Ameripath Hospital Services-Florida LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1518735208
  NPD
• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Fort Myers, FL
  • NPI 1407820889
  NPD (past)
• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1962254987
  NPD (past)
• Kilpatrick Pathology PA

  • Clinical Medical Laboratory
  • King, NC
  • NPI 1124035316
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  dba Gulf Coast Medical Center

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1023097854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MEDICAL LN",
            "address_2": "SUITE 100",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339071143",
            "telephone_number": "239-275-1164",
            "fax_number": "239-275-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAKALAKIS",
        "first_name": "PANAGIOTIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME0051745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Trussell, CRNA
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• Allison Tubbs, MSN, ARNP, FNP-BC
• Steven Tubbs, RPH
• Erica Tubman

• Anatomic Pathology & Clinical Pathology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.