Peter Alexis Kangos, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G4020 Issued in TX

Practice address

12411 Hymeadow Dr
Suite 3F
Austin, TX 78750-1874

Phone

(512) 250-1997

Fax

(512) 250-1529

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter a. Kangos, MD, PA

  • Pediatrics Physician
  • Austin, TX
  • NPI 1457536989
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1285745547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR",
            "address_2": "SUITE 3F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501874",
            "telephone_number": "512-250-1997",
            "fax_number": "512-250-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 HYMEADOW DR",
            "address_2": "SUITE 3F",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501874",
            "telephone_number": "512-250-1997",
            "fax_number": "512-250-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGOS",
        "first_name": "PETER",
        "middle_name": "ALEXIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G4020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "742864140",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sook Jung Kang, F.N.P.
• Sookja Kang
• Soyeon Kang
• Kelsey Anne Kangos, PHD
• Linda Jeanne Kangos, RN, MSN, CPNP
• Shabnoor Kanji, BCBA
• Julia Kanoff
• Bryan Todd Kansas, MD
• Kantua Acupuncture & Herbs
• Alexa Kantzavelos

• Pediatrics Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.