Individual provider Active NPI

Constantine Elefterios Plakas, MD

  • Neurological Surgery Physician
  • Estero, FL
National Provider Identifier
1013176734
Registry record updated Feb 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME123748 Issued in FL
Practice address
10201 Arcos Ave Ste 202
Estero, FL 33928-9461
Phone
(239) 908-3938
Fax
(239) 676-7947
NPI assigned
Jun 6, 2008
Last updated
Feb 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 275307 NY
Neurological Surgery Physician 207T00000X ME123748 FL Primary

Addresses

Primary practice location

10201 Arcos Ave Ste 202
Estero, FL 33928-9461

Mailing address

10201 Arcos Ave Ste 202
Estero, FL 33928-9461
Phone (239) 908-3938

Other identifiers 1

IdentifierTypeStateIssuer
015035700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cplakas90663@Direct.leememorial.org Lee Memorial Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150915001976 FL Practitioner - NeurosurgeryPractitioner - General Surgery 1951526375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians
Fairbanks Partners LLCGroup PAC ID 8820303621, 37 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000

400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 975-0200

4316 Lee Blvd
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion130
Laminectomy or laminotomy (partial removal of spine bones)54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME123748FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Partners LLC Neurological Surgery CurrentSince May 1, 2022 Accepting new patients
Lee Memorial Health System CurrentSince Jul 26, 2015 Accepting new patients
Fairbanks Partners LLC Neurological Surgery CurrentSince May 1, 2022 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System Current Accepting new patients
Orlando Neurosurgery, P.a. Neurological Surgery Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

10201 Arcos Ave
Ste 202
Estero, FL 33928
Phone (239) 908-3938

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

13685 Doctors Way
Ste 350
Fort Myers, FL 33912
Phone (239) 343-1000

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

2780 Cleveland Ave
Ste 819
Fort Myers, FL 33901
Phone (239) 336-6800

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

265 E Rollins St
Ste 12000
Orlando, FL 32804

1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cplakas90663@direct.leememorial.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBACD/Endpoint/FIBACD

Organizations & group practices 7

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1013176734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 202",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289461",
            "telephone_number": "239-908-3938",
            "fax_number": "239-676-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 202",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289461",
            "telephone_number": "239-908-3938",
            "fax_number": "239-676-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAKAS",
        "first_name": "CONSTANTINE",
        "middle_name": "ELEFTERIOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "275307",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME123748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015035700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cplakas90663@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.