Individual provider Active NPI

Joan Padouvas, M.D.

  • Surgery Physician
  • Astoria, NY
National Provider Identifier
1174593610
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
157312 Issued in NY
Practice address
3016 30TH Drive
Astoria, NY 11102-1874
Phone
(718) 626-0707
Fax
(718) 545-0333
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 157312 NY Primary

Addresses

Primary practice location

3016 30TH Drive
Astoria, NY 11102-1874

Mailing address

13777 45TH Ave
Apt. 2K
Flushing, NY 11355-4069
Phone (718) 626-0707

Other identifiers 1

IdentifierTypeStateIssuer
00894477MedicaidNY

Other names 1

  • Joanne Papargiris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110818000010 NY Practitioner - General Surgery 2163608621

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1174593610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13777 45TH AVE",
            "address_2": "APT. 2K",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554069",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 30TH DRIVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021874",
            "telephone_number": "718-626-0707",
            "fax_number": "718-545-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADOUVAS",
        "first_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "157312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00894477",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "PAPARGIRIS",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.