George Damon Gantsoudes, MD

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

0101257854 Issued in VA

Practice address

410 Maple Ave W Ste 5
Vienna, VA 22180-4224

Phone

(646) 240-9444

NPI assigned

Jul 30, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, MA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Orthopedic Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Braxton County Memorial HospitalGroup PAC ID 5193717759, shared by 3 NPIs, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ggantsoudes167116@soc.inova.org
• Direct secure messaging: northernvirginiapediatricorthopaedics.georgegantsoudes@162957.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Specialists of Virginia, LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1699119818

  DC

  Medicare reassignment NPD
• The Shriners' Hospital for Children

  • Pediatric Orthopaedic Surgery Physician
  • Springfield, MA
  • NPI 1285078444
  Medicare reassignment NPD
• The Shriners' Hospital for Children

  • Rehabilitation Clinic/Center
  • Springfield, MA
  • NPI 1811611825
  NPD
• Shriners Hospitals for Children

  • Children's Hospital
  • Chicago, IL
  • NPI 1376656538
  NPD (past)
• University Orthopaedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1841241437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1013173004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312241",
            "telephone_number": "703-876-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MAPLE AVE W STE 5",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804224",
            "telephone_number": "646-240-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTSOUDES",
        "first_name": "GEORGE",
        "middle_name": "DAMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101257854",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101257854",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "DC",
            "license": "MD043693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Carolina Gallo de Oliva, MS, CCC-SLP
• Reeya Gandhi
• Sarah Saghi Ganjavi, DDS
• Michael Lawrence Gannon, D.M.D.
• Gansett Dialysis, LLC
• Allen S Garai, DDS
• William John Garcia, M.D.
• Jason Gardenier
• Setara Gardezi
• Khin Maythu Gardner

• Pediatric Orthopaedic Surgery Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Pediatric Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.