Active NPI
George V. Tsoutsouris, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Highland, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000344
- 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, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100142010A | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000344 | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| The Methodist Hospitals, Inc. | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Current | 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
- george.tsoutsouris.p1@direct.northshorehealth.nextgenshare.com
- 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.
-
dba NorthShore Regional Health Centers
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Lake Station, IN
- NPI 1861636664
-
dba The Neuroscience Institute of NWI
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
dba Methodist Orthopedics
- Orthopaedic Surgery Physician
- Merrillville, IN
- NPI 1518295948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.