Active NPI
Evangelia Katsoulakis, M.D.
- Radiation Oncology Physician
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 38160
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME111445 | FL | MD | Radiation Oncology Physician |
| 38160 | NH | MD | Radiation Oncology Physician |
| 258838 | NY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | 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 | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | 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.
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Surgery Physician
- Tampa, FL
- NPI 1043557853
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Keene, NH
- NPI 1174176861
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Family Medicine Physician
- Tampa, FL
- NPI 1578800462
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.