Active NPI
Leonidas G Vassilaros, M.D.
- Nephrology Physician
- Youngstown, OH
National Provider Identifier
1104897941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35052890V
- Practice address
- 1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1125 - Phone
- (330) 746-1488
- Fax
- (330) 746-5611
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35052890V | OH | Primary |
| Nephrology Physician | 207RN0300X | MD039853L | PA |
Addresses
Primary practice location
1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1125
Mailing address
1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1125
Phone (330) 746-1488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0775079 | Medicaid | OH | |
| 1230382 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Nesbitt Rd
Suite 102
New Castle, PA 16105-3401
Phone (724) 657-5452
1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1129
Phone (330) 746-1488
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- Upmc Horizon
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052890V | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kidney Group, Inc | Nephrology | Current | Accepting new patients |
| Associates in Nephrology, LTD | Nephrology | Past | Accepting new patients |
| Dialysis Access Center, LLC | Past | Accepting new patients |
Locations
2020 E State St
Ste J
Salem, OH 44460
Phone (330) 337-4935
1700 E Market St
Ste 118
Warren, OH 44483
Phone (330) 259-0440
1340 Belmont Ave
Ste 2300
Youngstown, OH 44504
2151 Shenango Valley Fwy
Ste B
Hermitage, PA 16148
Phone (724) 308-7742
101 Nesbitt Rd
Ste 102
New Castle, PA 16105
Phone (724) 657-5452
Interoperability endpoints
- lvassilaros30823@direct.acumenmd.com
- lvassilaros34623@direct.bsmhealth.org
Organizations & group practices 3
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.
-
- Nephrology Physician
- Boardman, OH
- NPI 1346370624
-
- Ambulatory Surgical Clinic/Center
- Boardman, OH
- NPI 1801457478
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
- General Acute Care Hospital
- Greenville, PA
- NPI 1225048838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1104897941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 BELMONT AVE",
"address_2": "SUITE 2300",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041125",
"telephone_number": "330-746-1488",
"fax_number": "330-746-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 BELMONT AVE",
"address_2": "SUITE 2300",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041125",
"telephone_number": "330-746-1488",
"fax_number": "330-746-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSILAROS",
"first_name": "LEONIDAS",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35052890V",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD039853L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0775079",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1230382",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.