Vasilios W Kaperonis, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20732 Issued in AZ

Practice address

30 Acoma Blvd S
#101-103
Lake Havasu City, AZ 86403-5957

Phone

(928) 680-0604

Fax

(928) 680-0605

NPI assigned

Sep 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Psychiatry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.43 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.44

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mediterranean Mental Health Center, Inc.

  • Psychiatry Physician
  • Lake Havasu City, AZ
  • NPI 1619903986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1124214093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ACOMA BLVD S",
            "address_2": "#101-103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035957",
            "telephone_number": "928-680-0604",
            "fax_number": "928-680-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ACOMA BLVD S",
            "address_2": "#101-103",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035957",
            "telephone_number": "928-680-0604",
            "fax_number": "928-680-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPERONIS",
        "first_name": "VASILIOS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "20732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene Kalin, M.D.
• Daryl John Kallenbach, CNA
• Jamie N Kamon-Brancazio, PT, DPT
• Carrie Jean Kane, LPC
• Mirta I Kaperonis, LCSW
• Katalin H Boleratzky MD Inc
• Ashutosh Kaushesh, D.D.S.
• Tod Dempsey Keam, O.T.R.
• Jennifer Keele, LMT
• Stephanie Lynn Kent, OCCUPATIONAL THERAPI

• Psychiatry Physician in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; 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.

Verify at the official NPI Registry.