Individual provider Active NPI

Gregory Katsaros, D.C.

  • Chiropractor
  • Tempe, AZ
National Provider Identifier
1235136946
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5311 Issued in AZ
Practice address
1050 E Southern Ave
Ste 7
Tempe, AZ 85282-5483
Phone
(480) 858-1868
Fax
(480) 858-1867
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5311 AZ Primary

Addresses

Primary practice location

1050 E Southern Ave
Ste 7
Tempe, AZ 85282-5483

Mailing address

1050 E Southern Ave
Ste 7
Tempe, AZ 85282-5483
Phone (480) 858-1868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090325000418 AZ Practitioner - Chiropractic 8527125251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 E Southern Ave
Suite 5
Tempe, AZ 85282-5483
Phone (480) 858-1868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5311AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Pain Management, LLC Chiropractor CurrentSince Jul 1, 2008 Accepting new patients
Mehareen LLP Past Accepting new patients

Locations

1858 E Southern Ave
Tempe, AZ 85282
Phone (480) 755-1925

1050 E Southern Ave
Ste 7
Tempe, AZ 85282
Phone (480) 858-1868

1050 E Southern Ave
Ste 5
Tempe, AZ 85282
Phone (480) 858-1868

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1235136946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE",
            "address_2": "STE 7",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825483",
            "telephone_number": "480-858-1868",
            "fax_number": "480-858-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE",
            "address_2": "STE 7",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825483",
            "telephone_number": "480-858-1868",
            "fax_number": "480-858-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSAROS",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.