Androniki Kanaroglou, MD

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

ME120235 Issued in FL

Practice address

10301 Hagen Ranch Rd
Suite C130
Boyton Beach, FL 33437

Phone

(561) 736-7313

Fax

(561) 736-2309

NPI assigned

May 28, 2014

Last updated

Mar 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Niki Kanaroglou Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: androniki.kanaroglou.1@32200.direct.athenahealth.com

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.

• South Florida Pediatric Urology LLP

  • Pediatric Urology Physician
  • Miami, FL
  • NPI 1891529715

  Single Specialty

  NPD
• Pediatrix Medical Group of Florida Inc

  • Pediatric Urology Physician
  • Miami, FL
  • NPI 1588231914
  NPD (past)
• Specialized Outpatient Surgery Center for Children and Adults

  • Ambulatory Surgical Clinic/Center
  • Boynton Beach, FL
  • NPI 1427558576
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1083026868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SAWGRASS CORPORATE PKWY STE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232823",
            "telephone_number": "800-243-3839",
            "fax_number": "855-527-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD",
            "address_2": "SUITE C130",
            "city": "BOYTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-736-7313",
            "fax_number": "561-736-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAROGLOU",
        "first_name": "ANDRONIKI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME120235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011989900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "KANAROGLOU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caridad Center Inc
• Valerie Delbrun, FNP/APRN
• Eena Comprehensive Neurology and Sleep Center Inc
• Frank Tarquini P.a.
• Lyn Lewis
• Luxottica Retail North America Inc (Target Optical #2171)
• Marianna Zadov, P.a (Royal Dental)
• Uttam Sheladiya
• Wanda Ivellisse Torres, CRNA

• Pediatric Urology Physician in Boyton Beach, FL
• Providers in Boyton Beach, FL by specialty
• Pediatric Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.