Individual provider Active NPI

Evangelia Katsoulakis, M.D.

  • Radiation Oncology Physician
  • Lebanon, NH
National Provider Identifier
1386807493
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
38160 Issued in NH
Practice address
1 Medical Center Dr # 1000
Lebanon, NH 03756-0001
Phone
(603) 650-5000
Fax
(603) 650-5000
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 38160 NH Primary
Radiation Oncology Physician 2085R0001X 258838 NY
Radiation Oncology Physician 2085R0001X ME111445 FL

Addresses

Primary practice location

1 Medical Center Dr # 1000
Lebanon, NH 03756-0001

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-7585

Other practice location 1

10740 Palm River Rd Ste 360
Tampa, FL 33619-4578
Phone (813) 844-7585

Other practice location 2

2 Tampa General Cir Fl 3
Tampa, FL 33606-3571
Phone (813) 844-7585

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ekatsoulakis257546@direct.tgh.org Health Information Exchange (HIE)
Direct Messaging Address ekatsoulakis257546@direct.tgh.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230315002097 FL Practitioner - Radiation Oncology 0446404289 Reassigns benefits to 1 organization
I20251030002574 NH Practitioner - Radiation Oncology 0446404289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111445FLMDRadiation Oncology Physician
38160NHMDRadiation Oncology Physician
258838NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Oct 21, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 21, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Mar 1, 2023 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Oct 21, 2025 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600

10740 Palm River Rd
Ste 360
Tampa, FL 33619
Phone (813) 660-6400

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870

1080 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 473-4100

Organizations & group practices 7

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1386807493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR # 1000",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-5000",
            "fax_number": "603-650-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10740 Palm River Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336194578",
            "country_code": "US",
            "telephone_number": "813-844-7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Tampa General Cir Fl 3",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-844-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSOULAKIS",
        "first_name": "EVANGELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NH",
            "license": "38160",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "258838",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME111445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekatsoulakis257546@direct.tgh.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2 Tampa General Cir Fl 3",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekatsoulakis257546@direct.tgh.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10740 Palm River Rd Ste 360",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336194578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.