NPIMap

Individual provider Active NPI

Spyridon Kantas, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Andover, MA
National Provider Identifier
1154317089
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
216696 Issued in MA
Practice address
69 Park St
Andover, MA 01810-3691
Phone
(978) 409-1137
Fax
(978) 409-1906
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 216696 MA Primary

Addresses

Primary practice location

69 Park St
Andover, MA 01810-3691

Mailing address

69 Park St
Andover, MA 01810-3691
Phone (978) 409-3044

Other identifiers 1

IdentifierTypeStateIssuer
2084520MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040928000101 MA Practitioner - Internal Medicine 3971572918 Reassigns benefits to 2 organizations
Practice locations: Chelmsford, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Care of Boston Management CorporationGroup PAC ID 6800787714, 293 clinicians

Practice addresses (Care Compare)

63 Park St
Andover, MA 01810-3662
Phone (978) 409-1137

69 Park St
Andover, MA 01810-3691
Phone (978) 886-3504

69 Park St
Suite 3
Andover, MA 01810-3694
Phone (978) 409-3044

93 Pond St
Sharon, MA 02067-2015
Phone (781) 784-9212

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216696MAMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation CurrentSince Feb 1, 2016 Accepting new patients
Spyridon Kantas, MD, LLC CurrentSince Jul 16, 2025 Accepting new patients
North Ohio Heart Center Inc Past Accepting new patients
Spyridon Kantas MD PC PastSince Jan 1, 1990 Accepting new patients
Lowell Hematology and Oncology PC Past Accepting new patients

Locations

63 Park St
Andover, MA 01810
Phone (978) 409-1137

69 Park St
Ste 3
Andover, MA 01810
Phone (703) 474-8788

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

Interoperability endpoints

  • Direct secure messaging: skantas456514@direct.bilh.masshiway.net

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1154317089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 PARK ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103691",
            "telephone_number": "978-409-3044",
            "fax_number": "978-409-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 PARK ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103691",
            "telephone_number": "978-409-1137",
            "fax_number": "978-409-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAS",
        "first_name": "SPYRIDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MA",
            "license": "216696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084520",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.