DR. GEORGE DAMON GANTSOUDES MD
NPI 1013173004
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Vienna, VA

Active since July 30, 2008PECOS EnrolledAccepts Medicare Assignment
410 MAPLE AVE W STE 5, VIENNA, VA 22180(646) 240-9444 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, Jan 23, 2026, Apr 16, 2020 (3 updates tracked since 2020).

About Dr. George Damon Gantsoudes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEORGE DAMON GANTSOUDES MD (NPI 1013173004) is an individual pediatric orthopaedic surgery provider in Vienna, Virginia, licensed in Virginia (0101257854) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2004).

NPPES Registry Identity

NPI1013173004
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameDR. GEORGE DAMON GANTSOUDESCredential: MD
Location Address410 MAPLE AVE W STE 5Vienna, VA 22180-4224
Mailing Address3023 Hamaker Ct Ste 500Fairfax, VA 22031-2241 · (703) 876-2788
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2004
Enumeration DateJuly 30, 2008
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1013173004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Licenses Licensed in VA · 0101257854 Licensed in DC · MD043693
Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 0101257854 (VA)
410 MAPLE AVE W STE 5, Vienna, VA 22180

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. George Damon Gantsoudes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739203241
PECOS Enrollment IDI20250729001487
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Gantsoudes's NPI number?

The NPI number for George Gantsoudes is 1013173004. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Where is George Gantsoudes located?

George Gantsoudes practices at 410 Maple Ave W Ste 5, Vienna, VA 22180. The listed phone number is (646) 240-9444.

What is George Gantsoudes's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is George Gantsoudes enrolled in Medicare?

Yes. George Gantsoudes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does George Gantsoudes accept?

Health plans from Anthem Blue Cross and Blue Shield list George Gantsoudes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for George Gantsoudes was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.