Active NPI
Anastasios C. Polimenakos, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 48495
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071271 | Other | GA | GA LICENSES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX, MN, IL, SC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 504 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071271 | GA | MD | Pediatric Cardiology Physician |
| 036.120154 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Surgery | Current | Accepting new patients |
| Center for Vein Restoration SC LLC | Surgery | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Center for Vein Restoration SC2 LLC | Current | Accepting new patients | |
| Illinois Uvc Medical PLLC | Surgery | Current | 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
- apolimenakos98197@direct.geisinger.edu
- 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.
-
- Surgery Physician
- Columbia, SC
- NPI 1295391498
-
- Vascular Surgery Physician
- Columbia, SC
- NPI 1336900422
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Vascular Surgery Physician
- Oak Lawn, IL
- NPI 1689224719
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Physical Therapy Clinic/Center
- Minneapolis, MN
- NPI 1407834302
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Surgery Physician
- Baltimore, MD
- NPI 1689655219
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1528094869
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.