Individual provider Active NPI

Angelo Louis Lambropoulos, D.O.

  • Anesthesiology Physician
  • Summit, WI
National Provider Identifier
1790987014
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
54204-021 Issued in WI
Practice address
36500 Aurora Dr
Summit, WI 53066-4899
Phone
(262) 434-1000
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 54204-021 WI Primary

Addresses

Primary practice location

36500 Aurora Dr
Summit, WI 53066-4899

Mailing address

N52W21378 Golfview Dr
Menomonee Falls, WI 53051-6268
Phone (630) 808-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190603001224 FL Practitioner - Anesthesiology 7012104839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Mid West Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Pinellas Anesthesia Associates, PAGroup PAC ID 5496915597, 22 clinicians

Practice addresses (Care Compare)

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (954) 939-5000

4500 E Fletcher Ave
Tampa, FL 33613-4910
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54204-021WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince May 7, 2019 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince May 7, 2019 Accepting new patients
North Pinellas Anesthesia Associates, PA Anesthesiology CurrentSince May 7, 2019 Accepting new patients

Locations

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

4500 E Fletcher Ave
Tampa, FL 33613
Phone (813) 870-0401

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1790987014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N52W21378 GOLFVIEW DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516268",
            "telephone_number": "630-808-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 AURORA DR",
            "city": "SUMMIT",
            "state": "WI",
            "postal_code": "530664899",
            "telephone_number": "262-434-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBROPOULOS",
        "first_name": "ANGELO",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "54204-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, WI

Sources for this page

Verify at the official NPI Registry.