Individual provider Active NPI

George Kasotakis, MD, MPH

  • Surgical Critical Care Physician
  • Fairfax, VA
National Provider Identifier
1265657464
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
0101278297 Issued in VA
Practice address
8260 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4528
Phone
(571) 472-4670
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 243298 MA
Surgical Critical Care Physician 2086S0102X 243298 MA
Trauma Surgery Physician 2086S0127X 2018-02184 NC
Surgical Critical Care Physician 2086S0102X 0101278297 VA Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4528

Mailing address

Duke University Medical Center Dumc 2837 2301 Erwin Rd
Durham, NC 27710-0001

Other practice location 1

Duke University Medical Center
Durham, NC 27710-0001
Phone (919) 681-4925

Other practice location 2

725 Albany Street
Shapiro 3, Suite A
Boston, MA 02118
Phone (617) 414-4861

Other identifiers 1

IdentifierTypeStateIssuer
110088684AMedicaidMA

Other names 1

  • Dr. George Kasotakis Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gkasotakis1163065@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230725000865 DC Practitioner - General Surgery 2466620760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243298MAMDSurgery Physician
0101278297VAMDSurgical Critical Care Physician
2018-02184NCMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jun 12, 2023 Accepting new patients
Inova Health Care Services Trauma Surgery CurrentSince Jun 12, 2023 Accepting new patients

Locations

8260 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (571) 472-4670

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

Interoperability endpoints

  • Direct secure messaging: gkasotakis1163065@soc.inova.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1265657464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUKE UNIVERSITY MEDICAL CENTER DUMC 2837 2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 600",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314528",
            "telephone_number": "571-472-4670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Duke University Medical Center",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277100001",
            "country_code": "US",
            "telephone_number": "919-681-4925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Albany Street",
            "address_2": "Shapiro 3, Suite A",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-414-4861",
            "fax_number": "617-414-3617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASOTAKIS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "243298",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "243298",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NC",
            "license": "2018-02184",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0101278297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088684A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkasotakis1163065@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8260 Willow Oaks Corporate Dr Ste 600",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "KASOTAKIS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.