Active NPI
Angelo Giolekas, D.C.
- Sports Physician Chiropractor
- Worcester, MA
National Provider Identifier
1811080161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH2228
- Practice address
- 488 Pleasant St
Worcester, MA 01609-1857 - Phone
- (508) 752-7334
- Fax
- (508) 752-8469
- NPI assigned
- Oct 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH2228 | MA | Primary |
Addresses
Primary practice location
488 Pleasant St
Worcester, MA 01609-1857
Mailing address
488 Pleasant St
Worcester, MA 01609-1857
Phone (508) 752-7334
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11456131 | Other | MA | CAQH |
| Y36558 | Other | MA | BLUE CROSS/BLUE SHIELD INDIVIDUAL LEGACY |
| Y39517 | Other | MA | BLUE CROSS/BLUE SHIELD GROUP LEGACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Pleasant St
Suite 3
Worcester, MA 01609-1858
Phone (508) 752-7334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH2228 | MA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giolekas Sports and Family Chiropractic, Inc. | Sports Physician | Current | Accepting new patients |
Locations
617 Chandler St
Worcester, MA 01602
Phone (508) 752-7334
488 Pleasant St
Worcester, MA 01609
Phone (508) 752-7334
475 Pleasant St
Ste 3
Worcester, MA 01609
Phone (508) 752-7334
Organizations & group practices 1
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.
-
- Sports Physician Chiropractor
- Worcester, MA
- NPI 1063815066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1811080161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 PLEASANT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091857",
"telephone_number": "508-752-7334",
"fax_number": "508-752-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 PLEASANT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016091857",
"telephone_number": "508-752-7334",
"fax_number": "508-752-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIOLEKAS",
"first_name": "ANGELO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-01",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MA",
"license": "CH2228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11456131",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD INDIVIDUAL LEGACY",
"identifier": "Y36558",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD GROUP LEGACY",
"identifier": "Y39517",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.