GRIGORIOS KALAITZIDIS MD
NPI 1104575968
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 21, 2022PECOS Enrolled
CROSSTOWN PRIMARY CARE, 801 MASSACHUSETTS AVE, 6TH FLOOR, BOSTON, MA 02119(617) 414-5951(617) 414-9251 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grigorios Kalaitzidis Md NPPES

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

GRIGORIOS KALAITZIDIS MD (NPI 1104575968) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104575968
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRIGORIOS KALAITZIDISCredential: MD
Location AddressCROSSTOWN PRIMARY CARE, 801 MASSACHUSETTS AVE, 6TH FLOORBoston, MA 02119
Mailing AddressCrosstown Primary Care, 801 Massachusetts Ave, 6th FloorBoston, MA 02119 · (617) 414-5951 · Fax (617) 414-9251
Fax(617) 414-9251
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateApril 6, 2022
NPPES CertifiedMarch 25, 2022
NPI 1104575968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
CROSSTOWN PRIMARY CARE, 801 MASSACHUSETTS AVE, Boston, MA 02119

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grigorios Kalaitzidis Md 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.

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 Grigorios Kalaitzidis's NPI number?

The NPI number for Grigorios Kalaitzidis is 1104575968. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Grigorios Kalaitzidis located?

Grigorios Kalaitzidis practices at Crosstown Primary Care, 801 Massachusetts Ave 6th Floor, Boston, MA 02119. The listed phone number is (617) 414-5951.

What is Grigorios Kalaitzidis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grigorios Kalaitzidis enrolled in Medicare?

Yes. Grigorios Kalaitzidis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grigorios Kalaitzidis was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.