Individual provider Active NPI

Chris Anggelis, MD

  • Interventional Cardiology Physician
  • Louisville, KY
National Provider Identifier
1992780837
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
27228 Issued in KY
Practice address
3950 Kresge Way Ste 303
Louisville, KY 40207-4637
Phone
(502) 928-0900
Fax
(502) 928-0901
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27228 KY
Interventional Cardiology Physician 207RI0011X 27228 KY Primary

Addresses

Primary practice location

3950 Kresge Way Ste 303
Louisville, KY 40207-4637

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 489-6613

Other identifiers 1

IdentifierTypeStateIssuer
64272289MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address canggelis18635@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20031106000492 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7416860432 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Heart Specialists PLLC Interventional Cardiology CurrentSince Jan 20, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

6400 Dutchmans Pkwy
Ste 335
Louisville, KY 40205
Phone (502) 497-1335

201 Abraham Flexner Way
Ste 1101
Louisville, KY 40202
Phone (502) 568-1455

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

201 Abraham Flexner Way
#1
Louisville, KY 40202
Phone (502) 852-7959

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

3920 Dutchmans Ln
#307
Louisville, KY 40207

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1992780837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-489-6613",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 KRESGE WAY STE 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074637",
            "telephone_number": "502-928-0900",
            "fax_number": "502-928-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGGELIS",
        "first_name": "CHRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "27228",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "27228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64272289",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "canggelis18635@bhkydirect.com",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy Ste 170",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.