Individual provider Active NPI

Nicholas Steven Tapazoglou, M.D.

  • Surgery Physician
  • Leonardtown, MD
National Provider Identifier
1972702413
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101251675 Issued in VA
Practice address
25500 Point Lookout Rd Ste P200
Leonardtown, MD 20650-2015
Phone
(240) 434-4088
Fax
(240) 434-4022
NPI assigned
Jul 14, 2007
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101251675 VA Primary

Addresses

Primary practice location

25500 Point Lookout Rd Ste P200
Leonardtown, MD 20650-2015

Mailing address

2235 Cedar LN
Suite 101
Vienna, VA 22182-5202
Phone (703) 778-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170119001674 MD Practitioner - General Surgery 8527293778 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland and Virginia Phlebology PCGroup PAC ID 8628000148, 7 clinicians
USA Vein Clinics of Maryland LLCGroup PAC ID 9335513365, 5 clinicians

Practice addresses (Care Compare)

1910 Towne Centre Blvd
Suite 210
Annapolis, MD 21401-3675
Phone (410) 571-8525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101251675VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Surgical Associates, LLC CurrentSince Jan 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2019 Accepting new patients
WHC Emerg Phys CurrentSince Nov 25, 2016 Accepting new patients
Maryland and Virginia Phlebology PC Surgery CurrentSince Mar 30, 2025 Accepting new patients
Upper Chesapeake Surgical Associates, LLC Surgery CurrentSince Jan 1, 2023 Accepting new patients
WHC Physician Group LLC Surgery CurrentSince Nov 25, 2016 Accepting new patients
Maryland and Virginia Phlebology PC Surgery CurrentSince Aug 30, 2024 Accepting new patients
USA Vein Clinics of Maryland LLC CurrentSince Aug 30, 2024 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland and Virginia Phlebology PC Surgery PastSince Mar 30, 2025 Accepting new patients
Maryland and Virginia Phlebology PC Surgery PastSince Mar 30, 2025 Accepting new patients

Locations

304 Wainwright Dr
Ste 120
Northbrook, IL 60062

1910 Towne Centre Blvd
Ste 210
Annapolis, MD 21401
Phone (410) 571-8525

1910 Towne Centre Blvd
Ste 210C
Annapolis, MD 21401
Phone (410) 571-8525

1500 Whetstone Way
Ste 104
Baltimore, MD 21230
Phone (410) 244-8110

1500 Whetstone Way
Ste 104C
Baltimore, MD 21230
Phone (410) 244-8110

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

10440 Little Patuxent Pkwy
Ste 820
Columbia, MD 21044
Phone (410) 715-7340

10440 Little Patuxent Pkwy
Ste 820C
Columbia, MD 21044
Phone (410) 715-7340

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

421 S Union Ave
Ste 201
Hvre de Grace, MD 21078
Phone (443) 843-6360

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

25500 Point Lookout Rd
Ste 250
Leonardtown, MD 20650
Phone (240) 434-7474

25500 Point Lookout Rd
Ste P200
Leonardtown, MD 20650
Phone (240) 434-4088

1809 Reisterstown Rd
Ste 146
Pikesville, MD 21208
Phone (410) 580-0057

1809 Reisterstown Rd
Ste 146C
Pikesville, MD 21208
Phone (410) 580-0057

9515 Deereco Rd
Ste 205
Timonium, MD 21093
Phone (410) 252-6836

9515 Deereco Rd
Ste 205C
Timonium, MD 21093
Phone (410) 252-6836

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

Organizations & group practices 12

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": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1972702413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "SUITE 101",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825202",
            "telephone_number": "703-778-6000",
            "fax_number": "703-778-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT RD STE P200",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502015",
            "telephone_number": "240-434-4088",
            "fax_number": "240-434-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPAZOGLOU",
        "first_name": "NICHOLAS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101251675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.