Active NPI
Chris Anggelis, MD
- Interventional Cardiology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 27228
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64272289 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031106000492 | KY | Practitioner - Interventional Cardiology | 7416860432 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Heart Specialists PLLC | Interventional Cardiology | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | 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
- 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.
-
- Interventional Cardiology Physician
- Louisville, KY
- NPI 1427779289
Interventional Cardiology, KY
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
KY
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1417902925
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.