Individual provider Active NPI

Angelo Giolekas, D.C.

  • Sports Physician Chiropractor
  • Worcester, MA
National Provider Identifier
1811080161
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH2228 Issued in MA
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

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11456131OtherMACAQH
Y36558OtherMABLUE CROSS/BLUE SHIELD INDIVIDUAL LEGACY
Y39517OtherMABLUE CROSS/BLUE SHIELD GROUP LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060424000537 MA Practitioner - Chiropractic 8224048020 Reassigns benefits to 1 organization

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
Giolekas Sports and Family Chiropractic, Inc.Group PAC ID 5799008314, 2 clinicians

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

LicenseStateTypeSpecialty
CH2228MAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Giolekas Sports and Family Chiropractic, Inc. Sports Physician CurrentSince Oct 1, 2014 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.

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.

Verify at the official NPI Registry.