Individual provider Active NPI

George V. Tsoutsouris, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Highland, IN
National Provider Identifier
1952309759
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000344 Issued in IN
Practice address
9105A Indianapolis Blvd
Suite 102
Highland, IN 46322-2591
Phone
(219) 923-9090
Fax
(219) 923-9147
NPI assigned
Jul 14, 2005
Last updated
Oct 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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 07000344 IN Primary

Addresses

Primary practice location

9105A Indianapolis Blvd
Suite 102
Highland, IN 46322-2591

Mailing address

9105A Indianapolis Blvd
Suite 102
Highland, IN 46322-2591
Phone (219) 923-9090

Other identifiers 1

IdentifierTypeStateIssuer
100142010AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20120110000421 IN Practitioner - Podiatry 8820103930 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000344INMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Mar 1, 2023 Accepting new patients
The Methodist Hospitals, Inc. CurrentSince Feb 1, 2013 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Feb 1, 2013 Accepting new patients
Northshore Health Centers, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Podiatry Partners Inc Foot & Ankle Surgery Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Interoperability endpoints

  • Direct secure messaging: george.tsoutsouris.p1@direct.northshorehealth.nextgenshare.com
  • Direct secure messaging: gtsoutsouris7327@themethodisthospitals.direct-ci.com

Organizations & group practices 7

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1952309759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105A INDIANAPOLIS BLVD",
            "address_2": "SUITE 102",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222591",
            "telephone_number": "219-923-9090",
            "fax_number": "219-923-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105A INDIANAPOLIS BLVD",
            "address_2": "SUITE 102",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222591",
            "telephone_number": "219-923-9090",
            "fax_number": "219-923-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOUTSOURIS",
        "first_name": "GEORGE",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100142010A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.