Individual provider Active NPI

Christos G. Pappas, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Shelton, CT
National Provider Identifier
1407989569
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
040101 Issued in CT
Practice address
110 Commerce Dr
Shelton, CT 06484-6244
Phone
(203) 426-5554
Fax
(203) 992-4579
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 040101 CT Primary
Vascular Surgery Physician 2086S0129X 040101 CT

Addresses

Primary practice location

110 Commerce Dr
Shelton, CT 06484-6244

Mailing address

110 Commerce Dr
Shelton, CT 06484-6244
Phone (203) 426-5554

Other practice location 1

51 Roses Mill Rd
Milford, CT 06460-8512
Phone (203) 426-5554

Other identifiers 1

IdentifierTypeStateIssuer
001401017MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000012 CT Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 2961397559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Institute, Inc.Group PAC ID 9931336005, 3 clinicians

Practice addresses (Care Compare)

33 Church Hill Rd
Newtown, CT 06470-1637
Phone (203) 426-5554

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040101CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilton Vascular Medical Group PC Vascular Surgery CurrentSince Sep 25, 2019 Accepting new patients
Vein Institute, Inc. Vascular Surgery CurrentSince Mar 1, 2023 Accepting new patients
Hillcrest Healthcare Services Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Norwalk Pulmonary Consultants,PC PastSince Nov 28, 2012 Accepting new patients

Locations

2193 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 426-5554

51 Roses Mill Rd
Milford, CT 06460
Phone (203) 426-5554

33 Church Hill Rd
Newtown, CT 06470
Phone (203) 426-1818

33 Church Hill Rd
Ste 101
Newtown, CT 06470

372 Danbury Rd
Ste 220
Wilton, CT 06897
Phone (203) 762-2800

2001 Butterfield Rd
Ste 300
Downers Grove, IL 60515
Phone (630) 725-2730

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/U6RZJm5ZXggU0nM508ECB72LT9L_i0-0/

Organizations & group practices 4

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1407989569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COMMERCE DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846244",
            "telephone_number": "203-426-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COMMERCE DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846244",
            "telephone_number": "203-426-5554",
            "fax_number": "203-992-4579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Roses Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064608512",
            "country_code": "US",
            "telephone_number": "203-426-5554",
            "fax_number": "203-992-4579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "CHRISTOS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CT",
            "license": "040101",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "040101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001401017",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.