Individual provider Active NPI

Dimitrios G Angelis, M.D.

  • Cardiovascular Disease Physician
  • Worcester, MA
National Provider Identifier
1164469706
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
226231 Issued in MA
Practice address
123 Summer St Ste 385
Worcester, MA 01608-1216
Phone
(508) 363-9300
Fax
(508) 363-7003
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 226231 MA
Cardiovascular Disease Physician 207RC0000X 226231 MA Primary

Addresses

Primary practice location

123 Summer St Ste 385
Worcester, MA 01608-1216

Mailing address

17 Metcalf St
Worcester, MA 01609-1652
Phone (508) 363-6330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20081021000299 MA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4688732621 Reassigns benefits to 1 organization
Practice locations: Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226231MAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. CurrentSince Aug 29, 2008 Accepting new patients
Worcester Gastroenterology Partners Inc Past Accepting new patients
Community Neuroscience Services, LLC PastSince Nov 1, 2025 Accepting new patients

Locations

123 Summer St
#385
Worcester, MA 01608
Phone (508) 363-7300

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

123 Summer St
Ste 385
Worcester, MA 01608
Phone (508) 363-7300

123 Summer St
Ste 370
Worcester, MA 01608
Phone (508) 363-7300

123 Summer St
Ste 660
Worcester, MA 01608
Phone (508) 363-6330

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIBAA/Endpoint/DAIBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCCDA

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.

Hospital & facility affiliations 5

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1164469706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 METCALF ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091652",
            "telephone_number": "508-363-6330",
            "fax_number": "508-363-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST STE 385",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-9300",
            "fax_number": "508-363-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELIS",
        "first_name": "DIMITRIOS",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "226231",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "226231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.