Individual provider Active NPI

George Tjamaloukas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Land O' Lakes, FL
National Provider Identifier
1871510719
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3177 Issued in FL
Practice address
2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213
Phone
(813) 909-0865
NPI assigned
Jul 16, 2006
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3177 FL Primary

Addresses

Primary practice location

2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213

Mailing address

2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213
Phone (813) 909-0865

Other identifiers 1

IdentifierTypeStateIssuer
P00657665OtherFLRAIROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060918000081 FL Practitioner - Podiatry 5890790364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3177FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Point Medical Associates Inc PastSince May 25, 2020 Accepting new patients
T S Behrmann Enterprises Inc Past Accepting new patients
Nader H Chadda MD LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gtjamaloukas@cfaacp-fl.direct.office.nextgen.com

Organizations & group practices 4

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1871510719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 STONEWOOD PARK LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386213",
            "telephone_number": "813-909-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 STONEWOOD PARK LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386213",
            "telephone_number": "813-909-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJAMALOUKAS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIROAD MEDICARE",
            "identifier": "P00657665",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.