Katherine Antzoulatos, DPM, RD, CDN

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N004198 Issued in NY

Practice address

915 150TH St
Whitestone, NY 11357-1653

Phone

(347) 642-0315

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Jay Bienenfeld DPM PLLC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1396358834

  Multi-Specialty

  Medicare reassignment NPD
• Foot Forward Podiatry PC

  • Podiatrist
  • Staten Island, NY
  • NPI 1487314332

  Multi-Specialty

  Medicare reassignment NPD
• Foot Forward Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
  • NPI 1104152552

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1366908139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 150TH ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571653",
            "telephone_number": "347-642-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 150TH ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571653",
            "telephone_number": "347-642-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTZOULATOS",
        "first_name": "KATHERINE",
        "credential": "DPM, RD, CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1000889",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Therapies, Inc.
• Eleni Angelopoulos-Michael, RPH
• Constance Angelopoulos, D.P.T.
• Dimitra Christine Angelopoulos
• Kristin Rose Angelopoulos, PHARM.D
• Applied Behavioral Spectrum Services Inc
• Brittany Paige Apuzza, PA-C
• Christina Danielle Aquilon-Purpura
• Meghan Arango, M.S.E.D
• Daniel Omar Arcecuellar

• Primary Podiatric Medicine Podiatrist in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.