Individual provider Active NPI

Vasilios Kehagias, C.P.O

  • Prosthetist
  • Astoria, NY
National Provider Identifier
1851840714
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO03679
Practice address
2305 Astoria Blvd
Astoria, NY 11102-4345
Phone
(917) 832-6454
Fax
(917) 832-6640
NPI assigned
Oct 3, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CPO03679
Prosthetist 224P00000X CPO03679 Primary

Addresses

Primary practice location

2305 Astoria Blvd
Astoria, NY 11102-4345

Mailing address

2305 Astoria Blvd
Astoria, NY 11102-4345
Phone (917) 832-6454

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
E&G Prosthetics and Orthotics, LLC Current Accepting new patients
E&G Prosthetics and Orthotics, LLC Orthotist CurrentSince Jun 2, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1851840714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024345",
            "telephone_number": "917-832-6454",
            "fax_number": "917-832-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024345",
            "telephone_number": "917-832-6454",
            "fax_number": "917-832-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHAGIAS",
        "first_name": "VASILIOS",
        "credential": "C.P.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CPO03679",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": "CPO03679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.