DR. SPIRO THEOHARAKIS MD
NPI 1124004056
Psychiatry & Neurology - Psychiatry in Smithtown, NY

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
50 KARL AVE, STE 205, SMITHTOWN, NY 11787(631) 366-3600(631) 366-3667 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Spiro Theoharakis Md NPPES

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

DR. SPIRO THEOHARAKIS MD (NPI 1124004056) is an individual psychiatry provider in Smithtown, New York, licensed in New York (175445) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1987).

NPPES Registry Identity

NPI1124004056
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SPIRO THEOHARAKISCredential: MD
Location Address50 KARL AVE, STE 205Smithtown, NY 11787-2744
Mailing Address50 Karl Ave, Ste 205Smithtown, NY 11787-2744 · (631) 366-3600 · Fax (631) 366-3667
Fax(631) 366-3667
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1987
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 3, 2008
NPI 1124004056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 175445
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
50 KARL AVE, Smithtown, NY 11787

Other Identifiers 3

Medicare ID-Type Unspecified70K221NY
Medicare UPINF70752
Medicaid01589399NY

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. Spiro Theoharakis 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 ID4880677756
PECOS Enrollment IDI20040610001660
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
50 KARL AVE, STE 205
SMITHTOWN, NY 11787
Clinical Neuropsychologist
50 KARL AVE, SUITE 104
SMITHTOWN, NY 11787

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 Spiro Theoharakis's NPI number?

The NPI number for Spiro Theoharakis is 1124004056. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Spiro Theoharakis located?

Spiro Theoharakis practices at 50 Karl Ave Ste 205, Smithtown, NY 11787. The listed phone number is (631) 366-3600.

What is Spiro Theoharakis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Spiro Theoharakis enrolled in Medicare?

Yes. Spiro Theoharakis 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.

When was this NPI record last updated?

The NPPES record for Spiro Theoharakis was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.