Individual provider Active NPI

Gus Constantouris, DPM

  • Podiatrist
  • Commack, NY
National Provider Identifier
1861587974
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004543 Issued in NY
Practice address
69 Veterans Memorial Hwy
Suite #1
Commack, NY 11725-3452
Phone
(631) 462-2033
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004543 NY Primary
Primary Podiatric Medicine Podiatrist 213EP1101X N004543 NY
Radiology Podiatrist 213ER0200X N004543 NY
Sports Medicine Podiatrist 213ES0000X N004543 NY
Foot Surgery Podiatrist 213ES0131X N004543 NY

Addresses

Primary practice location

69 Veterans Memorial Hwy
Suite #1
Commack, NY 11725-3452

Mailing address

69 Veterans Memorial Hwy
Suite #1
Commack, NY 11725-3452
Phone (631) 462-2033

Other names 1

  • Dr. Constantine Constantouris Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101221000427 NY Practitioner - Podiatry 3072701879 Practice locations: Commack, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

69 Veterans Memorial Hwy
Suite 1
Commack, NY 11725-3452

69 Veterans Memorial Hwy 1
Commack, NY 11725-3452
Phone (631) 462-2033

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of skin lesions25
Removal of nail tissue199
Removal or shaving of skin growth109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004543NYMDMental Health Counselor
N004543NYMDFoot Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: gus.constantouris@308.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1861587974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 VETERANS MEMORIAL HWY",
            "address_2": "SUITE #1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253452",
            "telephone_number": "631-462-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 VETERANS MEMORIAL HWY",
            "address_2": "SUITE #1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253452",
            "telephone_number": "631-462-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTOURIS",
        "first_name": "GUS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004543",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004543",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "NY",
            "license": "N004543",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "N004543",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANTINE",
            "last_name": "CONSTANTOURIS",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.