Peter D Fragatos, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

35083165 Issued in OH

Practice address

950 Windham CT
Suite 1
Youngstown, OH 44512-5083

Phone

(330) 965-1847

Fax

(330) 965-1857

NPI assigned

Aug 9, 2005

Last updated

Apr 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

NeurologyAlso: Interventional Pain Management

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kav Health Group LLCGroup PAC ID 2466806864, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/kavrecovery/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kav Health Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1891332946
  Medicare reassignment Care Compare group NPD
• Warrensville Physical Medicine & Chiropractic Rehabilitation, LLC

  dba Cleveland Spine and Pain Management Center

  • Chiropractor
  • Warrensville HTS, OH
  • NPI 1629131222
  Medicare reassignment NPD
• Kav Health Group LLC

  • Primary Care Clinic/Center
  • Dayton, OH
  • NPI 1952094401
  NPD
• Collis, Kim & Associates, Inc.

  • Rheumatology Physician
  • Broadview HTS, OH
  • NPI 1336140987

  Neurological Surgery

  NPD (past)
• Kav Health Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1255978300
  NPD (past)
• Meridia Medical Group, LLC

  • Specialist
  • Warrensville Heights, OH
  • NPI 1316992944
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1780685164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WINDHAM CT",
            "address_2": "STE 1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125083",
            "telephone_number": "330-965-1847",
            "fax_number": "330-965-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WINDHAM CT",
            "address_2": "SUITE 1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125083",
            "telephone_number": "330-965-1847",
            "fax_number": "330-965-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGATOS",
        "first_name": "PETER",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35083165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L. Fowler, CRNA
• Clara M Fox
• Hayley Justine Fox, RN
• Kenneth J Fox, PA
• Teresa M. Fox
• Fragile Moments Mobile Service LLC
• Jessica Franceschelli
• Francis M. Turocy M.D.M, Inc.
• Diana L Francis, AS
• Richard Franczkowski

• Neurological Surgery Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Neurological Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.

Verify at the official NPI Registry.