Individual ProviderIoannis MilioglouInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831(502) 629-5552(502) 588-9490PECOS EnrollmentBased on the most recent information from CMS, provider Ioannis Milioglou is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:05 PM.Profile DetailsProvider ID1942852140Provider TypeIndividualFull NameMilioglou, IoannisTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date7/9/2019Last Updated2/10/2026Contact InformationPractice LocationPractice Address200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831Phone(502) 629-5552Fax(502) 629-3132Mailing LocationMailing AddressPO Box 776351, Chicago, IL 60677-6351Phone(502) 588-9490Fax(502) 272-5116Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense60409KentuckyCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense1019883MassachusettsProvider IdentifiersIDDescriptionIssuerID7101080230DescriptionMedicaidIssuerUnlistedKentuckyID300121743DescriptionMedicaidIssuerUnlistedIndiana