Individual provider Active NPI

Anastasios C. Polimenakos, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oklahoma City, OK
National Provider Identifier
1649283516
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
48495 Issued in OK
Practice address
1200 Childrens Ave Ste 2E
Oklahoma City, OK 73104-4637
Phone
(405) 271-4657
Fax
(405) 271-7161
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 48495 OK Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 071271 GA
Surgery Physician 208600000X D0101444 MD
Pediatric Cardiology Physician 2080P0202X 071271 GA
Surgery Physician 208600000X 036.120154 IL

Addresses

Primary practice location

1200 Childrens Ave Ste 2E
Oklahoma City, OK 73104-4637

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (813) 961-1331

Other practice location 1

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-8893

Other practice location 2

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-3671

Other practice location 3

1640 N Arlington Heights Rd Ste 201
Arlington Heights, IL 60004-3985
Phone (800) 991-6117

Other identifiers 1

IdentifierTypeStateIssuer
071271OtherGAGA LICENSES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, MN, IL, SC, MD6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20140623002207 GA Practitioner - General Surgery 0547332975 Reassigns benefits to 1 organization
I20200526002222 TX Practitioner - General SurgeryPractitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 0547332975 Reassigns benefits to 1 organization
I20220506002176 MN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic Surgery 0547332975 Reassigns benefits to 1 organization
I20221004001459 IL Practitioner - Thoracic Surgery 0547332975 Reassigns benefits to 1 organization
I20240129001274 SC Practitioner - Thoracic SurgeryPractitioner - General Surgery 0547332975 Reassigns benefits to 3 organizations
I20240918003279 MD Practitioner - General Surgery 0547332975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Vein Restoration SC LLCGroup PAC ID 1951639574, 3 clinicians

Practice addresses (Care Compare)

1725 Devonshire Dr
Columbia, SC 29204-2404
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071271GAMDPediatric Cardiology Physician
036.120154ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Surgery CurrentSince Aug 8, 2024 Accepting new patients
Center for Vein Restoration SC LLC Surgery CurrentSince Dec 18, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Johns Hopkins University CurrentSince Aug 8, 2024 Accepting new patients
Fairview Express Care CurrentSince Mar 28, 2022 Accepting new patients
Johns Hopkins University Current Accepting new patients
Fairview Express Care CurrentSince Mar 28, 2022 Accepting new patients
Center for Vein Restoration SC2 LLC CurrentSince Jan 1, 2025 Accepting new patients
Illinois Uvc Medical PLLC Surgery CurrentSince Sep 1, 2022 Accepting new patients
Lakeshore Womens Health Specialists SC Past Accepting new patients

Locations

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

3810 Northdale Blvd
Ste 150
Tampa, FL 33624
Phone (813) 683-4784

1640 N Arlington Heights Rd
Ste 201
Arlington Heights, IL 60004
Phone (847) 259-1111

2554 W Fabyan Pkwy
Batavia, IL 60510
Phone (630) 757-8120

1460 N Halsted St
Ste 503
Chicago, IL 60642
Phone (773) 472-1444

1101 31st St
Ste 170
Downers Grove, IL 60515
Phone (813) 683-4530

200 S Greenleaf St
Ste E
Gurnee, IL 60031
Phone (847) 336-0770

1259 Rickert Dr
Ste 208
Naperville, IL 60540
Phone (331) 249-4007

1622 Willow Rd
Ste 102
Northfield, IL 60093

4700 W 95th St
Ste 303
Oak Lawn, IL 60453
Phone (312) 949-4200

15303 S 94th Ave
Ste 110
Orland Park, IL 60462

7420 Central Ave
Ste 2030
River Forest, IL 60305
Phone (708) 386-2400

600 N Wolfe St
Baltimore, MD 21287

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776

1725 Devonshire Dr
Columbia, SC 29204
Phone (803) 235-8667

Interoperability endpoints

  • Direct secure messaging: apolimenakos98197@direct.geisinger.edu
  • Direct secure messaging: anastasios.polimenakosmd.p3@direct.cvr.nextgenshare.com

Organizations & group practices 12

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1649283516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "813-961-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE STE 2E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-271-4657",
            "fax_number": "405-271-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-8893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-3671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1640 N Arlington Heights Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600043985",
            "country_code": "US",
            "telephone_number": "800-991-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIMENAKOS",
        "first_name": "ANASTASIOS",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "48495",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "071271",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0101444",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "GA",
            "license": "071271",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.120154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSES",
            "identifier": "071271",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.