Active NPI
Panagiotis T Vlagopoulos, M.D.
- Nephrology Physician
- Plymouth, MA
National Provider Identifier
1851356513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 207726
- Practice address
- 47 Obery Street
Suite 1a
Plymouth, MA 02360-2229 - Phone
- (508) 747-4883
- Fax
- (508) 747-6661
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 207726 | MA | Primary |
Addresses
Primary practice location
47 Obery Street
Suite 1a
Plymouth, MA 02360-2229
Mailing address
47 Obery Street
Suite 1a
Plymouth, MA 02360-2229
Phone (508) 747-4883
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467109 | Other | MA | TUFTS HEALTH PLAN |
| 467109 | Other | MA | US FAMILY HEALTH-SPECIALI |
| 467109 | Other | MA | TUFTS MEDICARE PREFERRED |
| 9827981 | Other | CIGNA | |
| P00262951 | Other | MA | RAILROAD MEDICARE |
| 3972881 | Other | AETNA | |
| 2060710 | Medicaid | MA | |
| 491407 | Other | MA | US FAMILY HEALTH-PCP |
| AA11759 | Other | MA | HARVARD PILGRIM HEALTH |
| J28219 | Other | MA | BLUE SHIELD NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- pvlagopoulos20901@direct.southcoast.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1851356513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 OBERY STREET",
"address_2": "SUITE 1A",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602229",
"telephone_number": "508-747-4883",
"fax_number": "508-747-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 OBERY STREET",
"address_2": "SUITE 1A",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602229",
"telephone_number": "508-747-4883",
"fax_number": "508-747-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLAGOPOULOS",
"first_name": "PANAGIOTIS",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "207726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "467109",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY HEALTH-SPECIALI",
"identifier": "467109",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS MEDICARE PREFERRED",
"identifier": "467109",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9827981",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00262951",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3972881",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2060710",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY HEALTH-PCP",
"identifier": "491407",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "AA11759",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NUMBER",
"identifier": "J28219",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.