Individual provider Active NPI

George D Moutsatsos, M.D.

  • Cardiovascular Disease Physician
  • Meadowbrook, PA
National Provider Identifier
1609843309
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD068517L Issued in PA
Practice address
1650 Huntingdon Pike Ste 258
Meadowbrook, PA 19046-8008
Phone
(215) 918-1550
Fax
(215) 938-1342
NPI assigned
Mar 2, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C10006169 DE
Cardiovascular Disease Physician 207RC0000X MD068517L PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike Ste 258
Meadowbrook, PA 19046-8008

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants Cardiovascular Disease Past Accepting new patients
Chester County Cardiology Associates, P.C. Cardiovascular Disease PastSince Jul 1, 2008 Accepting new patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1609843309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "267-370-5295",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE STE 258",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468008",
            "telephone_number": "215-918-1550",
            "fax_number": "215-938-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTSATSOS",
        "first_name": "GEORGE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10006169",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD068517L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.