Constantine Athanasuleas
Individual provider Active NPI Vascular Surgery Physician · Birmingham, AL
NPI 1962455642 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1962455642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 10576 (AL)
- Practice address
- 1717 6TH Ave S
Birmingham, AL 35233-1801 - Phone
- (800) 822-8816
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- University of Chicago, Pritzker School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ecm Health Group LLC
Practice addresses (Care Compare)
1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000
2129 Helton Dr
Florence, AL 35630-1069
Phone (256) 980-6214
541 W College St
Suite 3300
Florence, AL 35630-5320
Phone (256) 766-6026
Hospital & facility affiliations
- Enhabit Home Health
- North Alabama Medical Center
- North Alabama Shoals Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 56 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080423000091 | AL | Practitioner - Thoracic Surgery |
4688752280 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10576 | AL | MD | Vascular Surgery Physician |
Practice roles (3 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecm Health Group LLC | Vascular Surgery | Current |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| RCHP - Florence LLC | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450
541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098
541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
2129 Helton Dr
Florence, AL 35630
Phone (256) 718-3200
203 Avalon Ave
Ste 300
Muscle Shoals, AL 35661
Phone (256) 386-1132
Networks
- bcbs alabama network 01A0
- bcbs alabama network 01B0
- bcbs alabama network 01H0
- bcbs alabama network 01E0
- bcbs alabama network 01G0
Interoperability endpoints
- constantine.athanasuleas.1@6269.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 10576 | AL | Yes |
Addresses
Primary practice location
1717 6TH Ave S
Birmingham, AL 35233-1801
Mailing address
1717 6TH Ave S
Birmingham, AL 35233-1801
Other providers in Birmingham, AL
- Christopher Brown Atchison
- Debra Atchison
- Joycelyn A Atchison
- Paul Atchison
- Gary Atchley
- Atherotech, Inc.
- Daniel Stephen Atherton
- Kelly Michelle Atherton
- Athletic Foundations Inc.
- Athletic Performance Enrichment Specialists LLC
All providers in Birmingham, AL · Vascular Surgery Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.