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Deactivated NPI 1528030905 Deactivated / Inactive NPI Male Practitioner

Evangelos G Poulos

Specialist • Miami Lakes, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Evangelos Poulos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2006
NPI Deactivation Date April 29, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Evangelos Poulos was a registered Specialist practicing in Miami Lakes, FL. Throughout an active medical career spanning 13 years, Evangelos Poulos provided care at the practice location at 16250 NW 59TH AVE until profile deactivation on 2019-04-29.

Historical Medicare Part B clinical services included pathology examination of tissue using a microscope, intermediate complexity, pathology examination of tissue using a microscope, moderately low complexity, special stained specimen slides to examine tissue, initial procedure. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

16250 Nw 59th Ave

Miami Lakes, FL 330147542

Telephone 3058254422
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Miami Lakes, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Miami Lakes, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
5,568 2,867 $143.29 $58.63
88304 Pathology examination of tissue using a microscope, moderately low complexity
156 144 $92.00 $32.69
88342 Special stained specimen slides to examine tissue, initial procedure
97 86 $252.00 $112.41
88341 Special stained specimen slides to examine tissue
76 47 $105.00 $97.01
88311 Preparation of tissue for examination by removing any calcium present
21 17 $42.00 $23.45
88321 Surgical pathology consultation and report on referred slides prepared elsewhere
16 16 $105.00 $104.87

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME31618

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Laszlo Karai , MD, PhD

Pathology - Dermatopathology

NPI 1548432180

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Andrew Hanly , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1992776314

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2019

Record deactivated on April 29, 2019

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 16250 NW 59TH AVE, MIAMI LAKES, FL 330147542 (Tel: 3058254422)

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Updated Business Mailing Address July 09, 2007

Registered at 16250 NW 59TH AVE, MIAMI LAKES, FL 330147542 (Tel: 3058254422)

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Provider Name / Credentials Updated July 09, 2007

Recorded as EVANGELOS POULOS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #ME31618 in FL)

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Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528030905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2006
Last Update: July 09, 2007
Deactivation Date: April 29, 2019

Mailing Address

16250 Nw 59th Ave

Miami Lakes, FL 330147542

Phone: 3058254422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.