Active NPI
Andreas Balasis
- Social Worker
- Wesley Chapel, FL
National Provider Identifier
1912558214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612 - Phone
- (813) 517-6089
- NPI assigned
- Sep 27, 2019
- Last updated
- Nov 2, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612
Mailing address
2927 Network PL Apt 101a
Lutz, FL 33559-2142
Phone (631) 942-0938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115367900 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abalasis25275@direct.tgh.org |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
Interoperability endpoints
- abalasis252715@direct.tgh.org
- abalasis25275@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1912558214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2927 NETWORK PL APT 101A",
"city": "LUTZ",
"state": "FL",
"postal_code": "335592142",
"telephone_number": "631-942-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26829 TANIC DR STE 101",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335444612",
"telephone_number": "813-517-6089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASIS",
"first_name": "ANDREAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-27",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115367900",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abalasis25275@direct.tgh.org",
"affiliation": "N",
"address_1": "26829 Tanic Dr Ste 101",
"city": "Wesley Chapel",
"state": "FL",
"country_code": "US",
"postal_code": "335444612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.