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DR. EFSTRATIOS DEMETRIOS LAGOUTARIS DPM
NPI 1194717595
Podiatrist - Foot & Ankle Surgery in Jacksonville Beach, FL

Active since August 22, 2005PECOS Enrolled
1361 13TH AVE S, STE 12, JACKSONVILLE BEACH, FL 32250(904) 241-2655(904) 249-2425 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2020, Feb 27, 2019, Mar 30, 2016 (3 updates tracked since 2016).

About Dr. Efstratios Demetrios Lagoutaris Dpm NPPES

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

DR. EFSTRATIOS DEMETRIOS LAGOUTARIS DPM (NPI 1194717595) is an individual foot & ankle surgery provider in Jacksonville Beach, Florida, licensed in Florida (PO2989) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194717595
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. EFSTRATIOS DEMETRIOS LAGOUTARISCredential: DPM
Location Address1361 13TH AVE S, STE 12Jacksonville Beach, FL 32250
Mailing Address5911 Timuquana Rd Unit 300Jacksonville, FL 32210-7897 · (904) 251-5053 · Fax (904) 224-2002
Phone(904) 241-2655
Fax(904) 249-2425
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1194717595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO2989
1361 13TH AVE S, Jacksonville Beach, FL 32250
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Other Identifiers 3

Medicaid270008501FL
OtherDR7381Palmetto Gba
Other21698LBcbs

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. Efstratios Demetrios Lagoutaris Dpm 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.

MS. INGRID LAURINAITIS P.A.-C
Physician Assistant
1361 13TH AVE S, SUITE 170A
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-4456
KEVIN HOLTHAUS MD
Specialist
1361 13TH AVE S, STE 150
JACKSONVILLE BEACH, FL 32250
Duval County (904) 242-7177
RICHARD J BOEHME MD
Psychiatry & Neurology (Neurology)
1361 13TH AVE S, STE-170A
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-4456
ADVANCED DERMATOLOGY, PA
Dermatology
1361 13TH AVE S, SUITE 180
JACKSONVILLE BEACH, FL 32250
Duval County (904) 247-4300
ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH
Clinic/Center (Ambulatory Surgical)
1361 13TH AVE S, STE 130
JACKSONVILLE, FL 32250
Duval County (904) 249-2580
MRS. KIMBERLY DEFRANZO NP
Nurse Practitioner
1361 13TH AVE S
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-7147
DE-SENESCE LLC
Integrative Medicine
1361 13TH AVE S
JACKSONVILLE BEACH, FL 32250
Duval County (904) 580-0207
MR. JERRY CROAN MSW
Social Worker (Clinical)
1361 13TH AVE S, SUITE 215
JACKSONVILLE BEACH, FL 32250
Duval County (904) 241-4226

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 Efstratios Lagoutaris's NPI number?

The NPI number for Efstratios Lagoutaris is 1194717595. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Efstratios Lagoutaris located?

Efstratios Lagoutaris practices at 1361 13th Ave S Ste 12, Jacksonville Beach, FL 32250. The listed phone number is (904) 241-2655.

What is Efstratios Lagoutaris's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Efstratios Lagoutaris enrolled in Medicare?

Yes. Efstratios Lagoutaris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Efstratios Lagoutaris was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.