Individual provider Active NPI

Peter Nikias Kamilakis, M.D.

  • Anesthesiology Physician
  • Naples, FL
National Provider Identifier
1871538413
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101237862 Issued in VA
Practice address
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone
(434) 315-2401
Fax
(804) 594-0915
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 0101237862 VA Primary

Addresses

Primary practice location

6101 Pine Ridge Rd
Naples, FL 34119-3900

Mailing address

9754 Wilshire Lakes Blvd
Naples, FL 34109-0752
Phone (804) 239-5763

Other identifiers 2

IdentifierTypeStateIssuer
010215161MedicaidVA
010203708MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220216002650 IN Practitioner - Anesthesiology 7113998196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Virginia Commonwealth University, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aas Indiana LLCGroup PAC ID 4688045115, 43 clinicians

Practice addresses (Care Compare)

4105 Dicke Rd
Fort Wayne, IN 46804-6135
Phone (260) 268-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aas Indiana LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Midwest Physicians Anesthesia Service, SC Anesthesiology Past Accepting new patients

Locations

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

6850 Parkdale Pl
Indianapolis, IN 46254
Phone (317) 329-7209

8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339

8830 S Meridian St
Indianapolis, IN 46217
Phone (317) 865-5029

9660 E Washington St
Ste 200
Indianapolis, IN 46229
Phone (317) 329-7203

3300 W Purdue Ave
Muncie, IN 47304
Phone (765) 287-9579

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1871538413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9754 WILSHIRE LAKES BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090752",
            "telephone_number": "804-239-5763",
            "fax_number": "804-594-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "434-315-2401",
            "fax_number": "804-594-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMILAKIS",
        "first_name": "PETER",
        "middle_name": "NIKIAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101237862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010215161",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010203708",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.