Individual provider Active NPI

Nikolaos Mouchtouris, M.D.

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1982139077
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD488205 Issued in PA
Practice address
909 Walnut St
2ND Floor
Philadelphia, PA 19107-5211
Phone
(215) 955-6776
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35.150849 OH
Neurological Surgery Physician 207T00000X MD488205 PA Primary

Addresses

Primary practice location

909 Walnut St
2ND Floor
Philadelphia, PA 19107-5211

Mailing address

1200 Old York Rd FL 1
Abington, PA 19001-3720
Phone (215) 481-3145

Other practice location 1

1200 Old York Rd Fl 1
Abington, PA 19001-3720
Phone (215) 481-3145

Other practice location 2

3998 Red Lion Rd Ste 213
Philadelphia, PA 19114-1440
Phone (215) 612-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241001000506 OH Practitioner - Neurosurgery 8123305422 Reassigns benefits to 1 organization
I20250618000292 PA Practitioner - Neurosurgery 8123305422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Jefferson Medical College of Thomas Jefferson University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians

Practice addresses (Care Compare)

1200 Old York Rd 1 Widener
Neurosurgical Associates of Abington
Abington, PA 19001-3720
Phone (215) 657-5886

3998 Red Lion Rd
Philadelphia, PA 19114-1445
Phone (215) 612-5699

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion14
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.150849OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Neurological Surgery CurrentSince Jul 1, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc Neurological Surgery CurrentSince Jul 1, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc Current Accepting new patients
University Hospitals Medical Group Inc Neurological Surgery CurrentSince Jul 16, 2024 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

1000 Auburn Dr
Beachwood, OH 44122
Phone (216) 285-4125

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

1200 Old York Rd
#1
Abington, PA 19001
Phone (215) 481-2400

3998 Red Lion Rd
Ste 213
Philadelphia, PA 19114
Phone (215) 481-3255

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

909 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 955-1234

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

2510 Maryland Rd
Ste 185
Willow Grove, PA 19090
Phone (215) 657-5886

Interoperability endpoints

  • Direct secure messaging: nmouchtouris586751@ehrdirect.uhhospitals.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1982139077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD FL 1",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-3145",
            "fax_number": "215-481-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-955-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013720",
            "country_code": "US",
            "telephone_number": "215-481-3145",
            "fax_number": "215-481-3781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3998 Red Lion Rd Ste 213",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191141440",
            "country_code": "US",
            "telephone_number": "215-612-5699",
            "fax_number": "215-612-5698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUCHTOURIS",
        "first_name": "NIKOLAOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.150849",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD488205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.