Individual provider Active NPI

Caliope Gialousis, FNP

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1376271544
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0032113 Issued in OH
Practice address
7067 Tiffany Blvd
Youngstown, OH 44514-1993
Phone
(330) 758-2041
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0032113 OH Primary

Addresses

Primary practice location

7067 Tiffany Blvd
Youngstown, OH 44514-1993

Mailing address

7067 Tiffany Blvd
Youngstown, OH 44514-1993
Phone (330) 758-2041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929001084 OH Practitioner - Nurse Practitioner 2163808023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babitha Nalluri MD LTDGroup PAC ID 8628041142, 6 clinicians

Practice addresses (Care Compare)

7067 Tiffany Blvd
Suite 220
Poland, OH 44514-1981
Phone (330) 758-2041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0032113OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Babitha Nalluri MD LTD CurrentSince Aug 9, 2022 Accepting new patients
Mercy Health Youngstown LLC PastSince Aug 9, 2022 Accepting new patients

Locations

7067 Tiffany Blvd
Youngstown, OH 44514
Phone (330) 726-7411

7067 Tiffany Blvd
Ste 220
Youngstown, OH 44514
Phone (330) 758-2041

Interoperability endpoints

  • Direct secure messaging: cgialousis645612@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1376271544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141993",
            "telephone_number": "330-758-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 TIFFANY BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141993",
            "telephone_number": "330-758-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIALOUSIS",
        "first_name": "CALIOPE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0032113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.