DR. LEON DIMITRIOS BOUDOURAKIS MD, MHS
NPI 1073771051
Surgery - Trauma Surgery in Brooklyn, NY

Active since May 27, 2008PECOS Enrolled
451 CLARKSON AVE, BOX 22, BROOKLYN, NY 11203(718) 245-2026 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Leon Dimitrios Boudourakis Md, Mhs NPPES

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

DR. LEON DIMITRIOS BOUDOURAKIS MD, MHS (NPI 1073771051) is an individual trauma surgery provider in Brooklyn, New York, licensed in New York (256935) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073771051
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. LEON DIMITRIOS BOUDOURAKISCredential: MD, MHS
Location Address451 CLARKSON AVE, BOX 22Brooklyn, NY 11203-2054
Mailing Address451 Clarkson Ave, Box 22Brooklyn, NY 11203-2054 · (718) 245-2026
Sole ProprietorNo
Enumeration DateMay 27, 2008
Last NPPES UpdateApril 25, 2014
NPI 1073771051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in NY · 256935
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 256935 (NY)
451 CLARKSON AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Leon Dimitrios Boudourakis Md, Mhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
451 CLARKSON AVE
BROOKLYN, NY 11203
Pediatrics (Pediatric Hematology-Oncology)
451 CLARKSON AVE, KINGS COUNTY HOSPITAL CENTER; B 6202
BROOKLYN, NY 11203
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine
451 CLARKSON AVE, BOX 22
BROOKLYN, NY 11203
Psychologist
451 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
451 CLARKSON AVE
BROOKLYN, NY 11203
Anesthesiology
451 CLARKSON AVE
BROOKLYN, NY 11203
General Acute Care Hospital
451 CLARKSON AVE
BROOKLYN, NY 11203

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 Leon Boudourakis's NPI number?

The NPI number for Leon Boudourakis is 1073771051. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Leon Boudourakis located?

Leon Boudourakis practices at 451 Clarkson Ave Box 22, Brooklyn, NY 11203. The listed phone number is (718) 245-2026.

What is Leon Boudourakis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Leon Boudourakis enrolled in Medicare?

Yes. Leon Boudourakis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leon Boudourakis was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.