Individual provider Active NPI

Efthymios Gkotsoulias, D.P.M.

  • Podiatrist
  • The Woodlands, TX
National Provider Identifier
1346506631
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2135 Issued in TX
Practice address
17350 St Lukes Way Ste 200
The Woodlands, TX 77384-4103
Phone
(832) 299-6311
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1053 WI
Podiatrist 213E00000X 2135 TX Primary

Addresses

Primary practice location

17350 St Lukes Way Ste 200
The Woodlands, TX 77384-4103

Mailing address

17350 St Lukes Way Ste 200
The Woodlands, TX 77384-4103
Phone (832) 299-6311

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160216001910 TX Practitioner - Podiatry 0941522163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

17350 St Lukes Way
Suite 200
The Woodlands, TX 77384-4103
Phone (936) 447-9491

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue127
Removal of nail tissue257
Removal or shaving of skin growth136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2135TXMDBehavioral Analyst
2135WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke'S Medical Group CurrentSince Nov 1, 2017 Accepting new patients

Locations

20207 Chasewood Park Dr
Ste 300
Houston, TX 77070
Phone (832) 534-7800

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

22710 Professional Dr
Kingwood, TX 77339
Phone (281) 298-2847

120 Flag Lake Dr
Ste 1
Lake Jackson, TX 77566
Phone (979) 299-6900

9201 Pinecroft Dr
Ste 230
Shenandoah, TX 77380
Phone (281) 419-3820

9201 Pinecroft Dr
Ste 295
Shenandoah, TX 77380

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17350 St Lukes Way
Ste 200
The Woodlands, TX 77384
Phone (936) 266-2180

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: egkotssoulias66994@direct.stlukeshealth.org

Organizations & group practices 1

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 2

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1346506631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844103",
            "telephone_number": "832-299-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844103",
            "telephone_number": "832-299-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GKOTSOULIAS",
        "first_name": "EFTHYMIOS",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2024-01-30",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1053",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.