Individual provider Active NPI

Kyriakos Tsalamandris, MD

  • Adult Medicine Physician
  • Pflugerville, TX
National Provider Identifier
1306891726
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R1312 Issued in TX
Practice address
18817 N Heatherwilde Blvd Ste 150
Pflugerville, TX 78660-1750
Phone
(512) 523-4878
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301065653 MI
Adult Medicine Physician 207QA0505X R1312 TX Primary

Addresses

Primary practice location

18817 N Heatherwilde Blvd Ste 150
Pflugerville, TX 78660-1750

Mailing address

18817 N Heatherwilde Blvd Ste 150
Pflugerville, TX 78660-1750
Phone (512) 523-4878

Other practice location 1

17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040816001291 MI Practitioner - Emergency Medicine 8224001409 Reassigns benefits to 1 organization
I20111103000585 FL Practitioner - Emergency Medicine 8224001409 Reassigns benefits to 1 organization
I20170530001160 TX Practitioner - Emergency Medicine 8224001409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1312TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 Hour Physicians, Inc Emergency Medicine CurrentSince May 10, 2017 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 23, 2013 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Dec 3, 2023 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Dec 25, 2023 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
East Florida Emergency Physician Group LLC Emergency Medicine Past Accepting new patients
Sailfish ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Turtle Run Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

8686 New Trails Dr
Ste 100
The Woodlands, TX 77381
Phone (713) 637-1004

Organizations & group practices 8

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 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1306891726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18817 N HEATHERWILDE BLVD STE 150",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601750",
            "telephone_number": "512-523-4878",
            "fax_number": "512-870-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18817 N HEATHERWILDE BLVD STE 150",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601750",
            "telephone_number": "512-523-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17717 Masonic",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480263158",
            "country_code": "US",
            "telephone_number": "586-294-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSALAMANDRIS",
        "first_name": "KYRIAKOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301065653",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "R1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.