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ANGELO SOUKOVELOS MD
NPI 1851188023
Student in an Organized Health Care Education/Training Program in Surprise, AZ

Active since April 22, 2025PECOS Enrolled
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374(602) 478-3100 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelo Soukovelos Md NPPES

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

ANGELO SOUKOVELOS MD (NPI 1851188023) is an individual student in an organized health care education/training program in Surprise, Arizona and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851188023
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANGELO SOUKOVELOSCredential: MD
Location Address13995 W STATLER BLVD STE 200Surprise, AZ 85374-5503
Mailing Address9357 W Monte LindoPeoria, AZ 85383-4222
Phone(602) 478-3100
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1851188023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13995 W STATLER BLVD STE 200, Surprise, AZ 85374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelo Soukovelos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

GISELLE MARY ARIAS ORTIZ MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
FNU SWATI
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
DR. DANNIEL CHRISTOPHER SANCHEZ MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
GURVINDER SINGH DHALIWAL M.D.
Family Medicine
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (623) 478-3100
ERNESTO INIGUEZ JR. MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
BHARATH DURAISAMY SWAMI KANNAN
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 349-9166
MUSAB KHAN MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
GARIN B BERGESON DO
Family Medicine (Sports Medicine)
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (623) 876-3870

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 Angelo Soukovelos's NPI number?

The NPI number for Angelo Soukovelos is 1851188023. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Angelo Soukovelos located?

Angelo Soukovelos practices at 13995 W Statler Blvd Ste 200, Surprise, AZ 85374. The listed phone number is (602) 478-3100.

What is Angelo Soukovelos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Angelo Soukovelos enrolled in Medicare?

Yes. Angelo Soukovelos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelo Soukovelos was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.