Individual provider Active NPI

Konstantinos D Galouzis, DC

  • Chiropractor
  • Poland, OH
National Provider Identifier
1285617225
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3125 Issued in OH
Practice address
263 W McKinley Way
Unit 101
Poland, OH 44514-1688
Phone
(330) 707-9127
Fax
(330) 707-9129
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3125 OH Primary
Chiropractor 111N00000X CH8327 FL

Addresses

Primary practice location

263 W McKinley Way
Unit 101
Poland, OH 44514-1688

Mailing address

263 W McKinley Way
Unit 101
Poland, OH 44514-1688
Phone (330) 707-9127

Other identifiers 3

IdentifierTypeStateIssuer
1051892OtherOHHEALTH ASSURANCE
2465685MedicaidOH
000000343526OtherOHANTHEM BC & BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041020000070 OH Practitioner - Chiropractic 0941260723 Reassigns benefits to 1 organization
I20220711003835 FL Practitioner - Chiropractic 0941260723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29 N Pinellas Ave
Tarpon Springs, FL 34689-3435
Phone (727) 934-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3125OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
G&S Chiropractic and Rehab Chiropractor CurrentSince Jun 21, 2022 Accepting new patients
Total Health & Wellness Centers, Inc Chiropractor CurrentSince Jul 1, 2004 Accepting new patients

Locations

29 N Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 934-7246

263 W McKinley Way
Ste 101
Youngstown, OH 44514
Phone (330) 707-9127

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1285617225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 W MCKINLEY WAY",
            "address_2": "UNIT 101",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141688",
            "telephone_number": "330-707-9127",
            "fax_number": "330-707-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 W MCKINLEY WAY",
            "address_2": "UNIT 101",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141688",
            "telephone_number": "330-707-9127",
            "fax_number": "330-707-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALOUZIS",
        "first_name": "KONSTANTINOS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3125",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8327",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "1051892",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2465685",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "000000343526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.