Marios Petrous Panayides, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35-03-3769-P Issued in OH

Practice address

30 Warder St
Suite 220
Springfield, OH 45504-2500

Phone

(937) 399-7021

Fax

(937) 399-0697

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

General Surgery

Education

Saint Louis University School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vein Center of Cincinnati LLCGroup PAC ID 6901235613, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Vein Center of Cincinnati LLC

  • Vascular Surgery Physician
  • Cincinnati, OH
  • NPI 1467084269
  Medicare reassignment Care Compare group NPD
• Active Life Health of Cincinnati LLC

  • Physical Medicine & Rehabilitation Physician
  • Cincinnati, OH
  • NPI 1417513193
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1184670051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SWALLOW HILL RD SUITE 2400",
            "address_2": "THE SKIN CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152201676",
            "telephone_number": "412-429-1151",
            "fax_number": "412-429-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARDER ST",
            "address_2": "SUITE 220",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042500",
            "telephone_number": "937-399-7021",
            "fax_number": "937-399-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAYIDES",
        "first_name": "MARIOS",
        "middle_name": "PETROUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-03-3769-P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02566986",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Padrutt
• Gaurav Pahouja
• Pain Management of Southwest Ohio Inc
• Heidi Pairan
• Julia Ann Palmer, R.N.
• Kaylee Panstingel
• Paragon Infusion Therapy, LLC
• Lakshmy Parameswaran, M.D.
• Jinhee Park
• Young R Park, MD

• Surgery Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.