Active NPI
Daniel Kalogeropoulos, PA-C
- Physician Assistant
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112183
- Practice address
- 8000 Sr 64 E
Bradenton, FL 34212 - Phone
- (941) 792-1404
- Fax
- (941) 795-1717
- NPI assigned
- Mar 2, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112183 | FL | Primary |
Addresses
Primary practice location
8000 Sr 64 E
Bradenton, FL 34212
Mailing address
8000 Sr 64 E
Bradenton, FL 34212
Phone (941) 792-1404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FBK5N | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Pain Management | Current | Accepting new patients | |
| Coastal Orthopedics & Sports Medicine of Southwest Florida PA | Current | Accepting new patients | |
| North Shore Anesthesia, LLC | Past | Accepting new patients |
Locations
8000 State Road 64 E
Bradenton, FL 34212
Phone 94179214043315
6015 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 782-0101
8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200
900 Cummings Ctr
Ste 221U
Beverly, MA 01915
Phone (351) 400-6272
800 W Cummings Park
Ste 1200
Woburn, MA 01801
Phone (781) 330-0327
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Bradenton, FL
- NPI 1285740720
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1992571608
-
- Interventional Pain Medicine Physician
- Beverly, MA
- NPI 1164739306
-
- Durable Medical Equipment & Medical Supplies
- Beverly, MA
- NPI 1992187041
-
- Pain Medicine (Anesthesiology) Physician
- Beverly, MA
- NPI 1295043297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1114467669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34212",
"telephone_number": "941-792-1404",
"fax_number": "941-795-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34212",
"telephone_number": "941-792-1404",
"fax_number": "941-795-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALOGEROPOULOS",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2022-05-25",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "FBK5N",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.