IOANNIS IOANNIDIS (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1053677807
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
260 PATHOLOGY in AL
Provider Addresses for IOANNIS IOANNIDIS (M.D.)
2451 Fillingim St
Mobile, AL 366172238
Phone: (251) 471-7786
Fax: (251) 471-7884
Type: Location
3400 Spruce St
Philadelphia, PA 191044238
Phone: (215) 662-3209
Type: Location
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 191291302
Phone: (215) 707-4353
Fax: (215) 707-2781
Type: Mailing
3401 N BROAD ST
PHILADELPHIA, PA 19140
Phone: (215) 707-4353
Fax: (215) 707-2781
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180423000090 | I | Pathology | PA | TBD |
| I20200811001249 | I | Pathology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,473 | 946 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 564 | 474 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 519 | 113 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 220 | 169 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 187 | 125 | $0 |
Insurance plans in this area (ZIP 36617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NJ | |
| P A T H O L O G Y | NJ | |
| P A T H O L O G Y | NJ | |
| P A T H O L O G Y | MN | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | NY | |
| - | SC | |
| - | NJ | |
| P A T H O L O G Y | PA | |
| P A T H O L O G Y | NJ |
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