ANGIE KORIAKOS (DO) – Dermatology Physician, NPI 1396060794

ANGIE KORIAKOS (DO) is a healthcare provider. based in Richardson, Texas. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 20A12095 (CA). The NPI Number for ANGIE KORIAKOS (DO) is 1396060794

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
ANGIE KORIAKOS (DO)
NPI
1396060794
Phone
(972) 469-3376
Address
399 W CAMPBELL RD STE 410
Enumeration Date
30 March 2010
Last Update Date
17 January 2017

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
6026909297
Graduation Year
2010 (16 years ago)
PAC ID
1658683263
Group Practice PAC ID
6103105432
Professional Enrollment ID
I20150709001936
Address ID
TX750803636RI399XXRDST401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for ANGIE KORIAKOS (DO)

  • 410, West Campbell Road, Richardson, Dallas County, Texas, 75080, United States

    RICHARDSON, TX 750803636

    Phone: (972) 469-3376

    Fax: (972) 469-3288

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,057.

Total Amount is formed as General ($1,057) + Research ($0) + Ownership ($0) = $1,057.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: GENZYME CORPORATION ($190).

Total Amount

$1,057

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,057

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150709001936IDermatologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths868168$0
99213Established patient office or other outpatient visit, 20-29 minutes724477$0
17000Destruction of precancer skin growth, 1 growth345263$0
11102Biopsy of related skin growth, first growth325275$0
17110Destruction of skin growth, 1-14 growths183127$0
View full utilization report →

Insurance plans in this area (ZIP 75080)

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Provider's Procedures

ANGIE KORIAKOS (DO) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue4729
DERMATOLOGYTX17003Destruction of 2-14 skin growths18338

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103105432View full group profile
NameSpecialtyState
Physician AssistantTX

Reviews

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Frequently asked questions

What is the registry number for ANGIE KORIAKOS (DO)?
The registry entry for ANGIE KORIAKOS (DO) shows NPI 1396060794.
Is ANGIE KORIAKOS (DO) currently accepting referrals based on NPI status?
Registry metadata lists ANGIE KORIAKOS (DO) as active.
How should patients interpret ANGIE KORIAKOS (DO)'s specialty?
The extract shows Dermatology Physician for ANGIE KORIAKOS (DO). Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANGIE KORIAKOS (DO)?
ANGIE KORIAKOS (DO) is associated with Richardson, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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