Active NPI
Efthymios Gkotsoulias, D.P.M.
- Podiatrist
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2135
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 127 |
| Removal of nail tissue | 257 |
| Removal or shaving of skin growth | 136 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2135 | TX | MD | Behavioral Analyst |
| 2135 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor St. Luke'S Medical Group | Current | 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
- https://fhir4.healow.com/fhir/r4/JIHBCA
- 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.
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- The Woodlands, TX
- NPI 1184868879
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.