Individual provider Active NPI

Peter Gus Kontos, DO

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1699839746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34-00-2374-K Issued in OH
Practice address
6559 Wilson Mills Rd # C
Suite 102
Cleveland, OH 44143-6402
Phone
(440) 460-0140
Fax
(440) 460-5413
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34-00-2374-K OH Primary

Addresses

Primary practice location

6559 Wilson Mills Rd # C
Suite 102
Cleveland, OH 44143-6402

Mailing address

6559 Wilson Mills Rd # C
Suite 102
Cleveland, OH 44143-6402
Phone (440) 460-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040803000018 OH Practitioner - Psychiatry 6002887213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Midwestern University, Chicago College of Osteopathic Med, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6700 Beta Dr
Suite 108
Mayfield Village, OH 44143-2335
Phone 440460014022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health, Inc. Current Accepting new patients
Signature Health, Inc CurrentSince Jan 27, 2014 Accepting new patients
Signature Health Inc CurrentSince Jan 27, 2014 Accepting new patients

Locations

4726 Main Ave
Ashtabula, OH 44004
Phone (440) 992-8552

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699839746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD # C",
            "address_2": "SUITE 102",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "440-460-0140",
            "fax_number": "440-460-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD # C",
            "address_2": "SUITE 102",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "440-460-0140",
            "fax_number": "440-460-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTOS",
        "first_name": "PETER",
        "middle_name": "GUS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-00-2374-K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.