Individual provider Active NPI

Zenos Anthony Vangelos, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Westlake, OH
National Provider Identifier
1225097249
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
34-004137 Issued in OH
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

Updated by the provider on Sep 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00381218OtherOHRR MEDICARE
0689367MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000005 OH Practitioner - Sports Medicine 2668364720 Reassigns benefits to 3 organizations

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 Hospital, Elyria, OH, CCN 360145
  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-004137OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince May 31, 2021 Accepting new patients
Mercy Health Physicians Lorain, LLC CurrentSince May 31, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 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

  • Direct secure messaging: zvangelos29602@nomshealthcare.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.