Individual provider Active NPI

Harry J Anagnostakos, DO

  • Gastroenterology Physician
  • Lewes, DE
National Provider Identifier
1124036017
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C20003464 Issued in DE
Practice address
400 Savannah Rd
Suite B
Lewes, DE 19958-1499
Phone
(302) 645-3555
Fax
(302) 644-3560
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X C20003464 DE Primary

Addresses

Primary practice location

400 Savannah Rd
Suite B
Lewes, DE 19958-1499

Mailing address

33663 Bayview Medical Dr
Unit 2
Lewes, DE 19958-1663
Phone (302) 645-9325

Other identifiers 1

IdentifierTypeStateIssuer
0000221803MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2022 through Apr 1, 2028

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: hanagnostakos22665@beebehealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1124036017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33663 BAYVIEW MEDICAL DR",
            "address_2": "UNIT 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581663",
            "telephone_number": "302-645-9325",
            "fax_number": "302-645-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAVANNAH RD",
            "address_2": "SUITE B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581499",
            "telephone_number": "302-645-3555",
            "fax_number": "302-644-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAGNOSTAKOS",
        "first_name": "HARRY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DE",
            "license": "C20003464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000221803",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.