Active NPI
Zenos Anthony Vangelos, D.O.
- Sports Medicine (Family Medicine) Physician
- Westlake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 34-004137
- Practice address
- 26908 Detroit Rd
Ste. 200
Westlake, OH 44145-2398 - Phone
- (440) 250-8660
- Fax
- (440) 250-8639
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 34-004137 | OH | Primary |
Addresses
Primary practice location
26908 Detroit Rd
Ste. 200
Westlake, OH 44145-2398
Mailing address
26908 Detroit Rd
Suite 301
Westlake, OH 44145-2398
Phone (440) 617-1823
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00381218 | Other | OH | RR MEDICARE |
| 0689367 | Medicaid | OH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Ohio University, College of Osteopathic Medicine, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5319 Hoag Dr
Suite 100
Sheffield Village, OH 44035-1492
Hospital & facility affiliations
- University Hospitals - Elyria Medical Center
- Mercy Regional Medical Center
- Cleveland Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-004137 | OH | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians, Lorain, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lorain Specialty Care LLC | Current | Accepting new patients | |
| Horizon Orthopedic, Inc | Past | Accepting new patients |
Locations
578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912
1813 Nagel Rd
Ste 500
Avon, OH 44011
Phone (440) 324-0400
1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
5319 Hoag Dr
Ste 240B
Sheffield Village, OH 44035
5319 Hoag Dr
Ste 100
Sheffield Village, OH 44035
Phone (440) 233-7183
5319 Hoag Dr
Ste 240
Sheffield Village, OH 44035
Phone (440) 930-6060
Interoperability endpoints
- zvangelos29602@nomshealthcare.direct-ci.com
- zvangelos243168@ehrdirect.uhhospitals.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Lorain, OH
- NPI 1972126381
-
- Family Medicine Physician
- Lorain, OH
- NPI 1023347192
-
- Internal Medicine Physician
- Sandusky, OH
- NPI 1225085855
-
- Durable Medical Equipment & Medical Supplies
- Vermilion, OH
- NPI 1255063145
-
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1730724147
-
- Orthopaedic Surgery Physician
- Brook Park, OH
- NPI 1790873131
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- Clinical Medical Laboratory
- Lorain, OH
- NPI 1164971800
Hospital
-
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1225097249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26908 DETROIT RD",
"address_2": "SUITE 301",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452398",
"telephone_number": "440-617-1823",
"fax_number": "440-617-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26908 DETROIT RD",
"address_2": "STE. 200",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452398",
"telephone_number": "440-250-8660",
"fax_number": "440-250-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGELOS",
"first_name": "ZENOS",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "34-004137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00381218",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0689367",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.