Active NPI
Dimitrios G Angelis, M.D.
- Cardiovascular Disease Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 226231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Hospital & facility affiliations
- St Vincent Hospital
- Heywood Hospital -
- Athol Memorial Hospital
- Umass Memorial Health - Harrington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226231 | MA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Physician Services, Inc. | Current | Accepting new patients | |
| Worcester Gastroenterology Partners Inc | Past | Accepting new patients | |
| Community Neuroscience Services, LLC | Past | 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
- https://fhir4.healow.com/fhir/r4/DAIBAA/Endpoint/DAIBAA
- 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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
-
- Neurology Physician
- Westborough, MA
- NPI 1578940219
-
- Gastroenterology Physician
- Worcester, MA
- NPI 1487072302
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.