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CHRISTODOULOS S CHRISTODOULOU M.D.
NPI 1700140969
Allergy & Immunology in San Angelo, TX

Active since July 02, 2012PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
2141 HAMILTON WAY, SAN ANGELO, TX 76904(325) 747-2480 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Christodoulos S Christodoulou M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTODOULOS S CHRISTODOULOU M.D. (NPI 1700140969) is an individual allergy & immunology provider in San Angelo, Texas, licensed in Texas (P1628) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and maintains a secondary practice location in Bandera.

NPPES Registry Identity

NPI1700140969
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameCHRISTODOULOS S CHRISTODOULOUCredential: M.D.
Location Address2141 HAMILTON WAYSan Angelo, TX 76904-6831
Mailing Address1650 Highway 16 S.Bandera, TX 78009 · (830) 796-7713 · Fax (830) 796-7744
Phone(325) 747-2480
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 2, 2012
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1700140969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in TX · P1628
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License P1628 (TX)
Also ListedAllergy & Immunology · Clinical & Laboratory ImmunologyTaxonomy 207KI0005X · License P1628 (TX)
2141 HAMILTON WAY, San Angelo, TX 76904
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Secondary Practice Location 1

Location 11050 Highway 16 S.Bandera, TX 78009 · Phone (830) 796-7713 · Fax (830) 796-7744

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christodoulos S Christodoulou M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688818792
PECOS Enrollment IDI20130911000385
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Christodoulos Christodoulou reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shannon Clinic
3.7 mi
Family Medicine
120 E BEAUREGARD AVE
San Angelo, TX 76903
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1770587149 (325) 658-1511
Medcare Associates, P.A.
143 mi
Internal Medicine
1050 HIGHWAY 16 SOUTH
Bandera, TX 78003
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Medcare Associates PA
  • 23 clinicians in this Medicare group
NPI 1215025598 (830) 796-7713

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
64 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers13 claims44 services$18.40 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
5 suppliers31 claims9,820 services$9.53 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
3 suppliers24 claims93 services$2.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEJANDRA C AYESTARAN CASSANI MD
Pediatrics
2141 HAMILTON WAY, STE 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4301
HECTOR ACTON MD
Pediatrics
2141 HAMILTON WAY, STE. 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4000
DANIEL HINCKLEY
Dentist (Pediatric Dentistry)
2141 HAMILTON WAY, STE 104
SAN ANGELO, TX 76904
Tom Green County (325) 949-6656
MR. BRADLEY STEVENS PA-C
Physician Assistant
2141 HAMILTON WAY, STE. 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4000
DR. JANE RIDER MD
Pediatrics
2141 HAMILTON WAY, STE. 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4000
CHRISTINE M TAYLOR RNFA.FNP
Nurse Practitioner (Family)
2141 HAMILTON WAY, SUITE106
SAN ANGELO, TX 76904
Tom Green County (325) 245-4511
MS. KAREN MIAZAGA ED.D, LPC
Counselor
2141 HAMILTON WAY, STE. 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4000
EMIR CAMPANINI MD
Pediatrics
2141 HAMILTON WAY, STE 100
SAN ANGELO, TX 76904
Tom Green County (325) 245-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christodoulos Christodoulou's NPI number?

The NPI number for Christodoulos Christodoulou is 1700140969. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Christodoulos Christodoulou located?

Christodoulos Christodoulou practices at 2141 Hamilton Way, San Angelo, TX 76904. The listed phone number is (325) 747-2480.

What is Christodoulos Christodoulou's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Christodoulos Christodoulou enrolled in Medicare?

Yes. Christodoulos Christodoulou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Christodoulos Christodoulou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christodoulos Christodoulou reassigns Medicare benefits to 2 organizations: Shannon Clinic (San Angelo, TX) and Medcare Associates, P.A. (Bandera, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christodoulos Christodoulou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christodoulos Christodoulou accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Christodoulos Christodoulou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Christodoulos Christodoulou affiliated with any hospitals?

According to CMS data, Christodoulos Christodoulou is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Christodoulos Christodoulou was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.