NPIMap

Individual provider Active NPI

Andre Panagos, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1083701155
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
228647 Issued in NY
Practice address
820 2ND Ave
Suite 6D
New York, NY 10017-4504
Phone
(347) 404-5122
Fax
(347) 332-1192
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 228647 NY Primary

Addresses

Primary practice location

820 2ND Ave
Suite 6D
New York, NY 10017-4504

Mailing address

820 2ND Ave
Suite 6D
New York, NY 10017-4504
Phone (347) 404-5122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000725 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 9032198213 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 2ND Ave
New York, NY 10017-4530
Phone (212) 682-6970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Physical Medicine & Rehabilitation Past Accepting new patients
Spine and Sports Medicine of New York PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BADIBA/Endpoint/BADIBA
  • Direct secure messaging: apanagos680610@nychhc.direct-ci.com

Organizations & group practices 2

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

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1083701155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE",
            "address_2": "SUITE 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174504",
            "telephone_number": "347-404-5122",
            "fax_number": "347-332-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE",
            "address_2": "SUITE 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174504",
            "telephone_number": "347-404-5122",
            "fax_number": "347-332-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGOS",
        "first_name": "ANDRE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "228647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.