Athanasios Thomas Dalagiannis, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35-072053 Issued in OH

Practice address

12621 Eckel Junction Rd Ste 2400
Perrysburg, OH 43551-1304

Phone

(419) 887-7000

Fax

(419) 887-5701

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Plastic and Reconstructive Surgery

Education

Wright State University Boonshoft School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arrowhead Plastic Surgeons IncGroup PAC ID 7113053687, 3 clinicians

Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112
• Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment Care Compare group NPD
• Arrowhead Plastic Surgeons Inc

  • Specialist
  • Perrysburg, OH
  • NPI 1962576454
  Medicare reassignment Care Compare group
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• The Toledo Hospital

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1407854771
  Care Compare affiliation
• Toledo Hospital

  • Ambulance
  • Toledo, OH
  • NPI 1427147339

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1871565267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 ECKEL JUNCTION RD STE 2400",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-887-7000",
            "fax_number": "419-887-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 ECKEL JUNCTION RD STE 2400",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "419-887-7000",
            "fax_number": "419-887-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAGIANNIS",
        "first_name": "ATHANASIOS",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-072053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ilene Crotty
• Crystal Clear Vision, LLC
• Cura Group Home Care, LTD
• John Conor Curran, L.M.T
• Megan Dakhnovets, CCC-SLP
• Tiffany Dallas-Kish, PT, DPT
• Elena Darah, LPCC
• Bethany Anne Dario, RDN
• Mahmood R Darr, M.D.
• Jessica S Datta, LSW

• Plastic Surgery Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.