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THEODORE C. BRISIMITZAKIS DO
NPI 1245897859
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kansas City, MO

Active since May 20, 2019PECOS Enrolled
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2024, Apr 7, 2022, May 20, 2019 (3 updates tracked since 2019).

About Theodore C. Brisimitzakis Do NPPES

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

THEODORE C. BRISIMITZAKIS DO (NPI 1245897859) is an individual child & adolescent psychiatry provider in Kansas City, Missouri, licensed in Missouri (2024017140) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245897859
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameTHEODORE C. BRISIMITZAKISCredential: DO
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Phone(816) 234-3000
Fax(816) 302-9939
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1245897859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MO · 2024017140
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2401 GILLHAM RD, Kansas City, MO 64108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore C. Brisimitzakis Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Brisimitzakis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Children's Mercy Hospital
Same address
Pediatrics
2401 GILLHAM RD
Kansas City, MO 64108
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: The Childrens Mercy Hospital
  • 394 clinicians in this Medicare group
NPI 1851437719 (816) 234-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RYAN A ROMANS MD
Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
JENNIFER BITNER MSN, APRN, FNP-C
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (913) 234-3000
SAMIRA NAIME M.D.
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MICHELLE RENEE MIDDLETON AU.D.
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Jackson County (816) 960-4009
MRS. SHERILYN KELLY APRN
Nurse Practitioner (Neonatal, Critical Care)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
MADALYN NICOLE SINGLETON DO
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
EMMA LYNNE WORLEY CAA
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (816) 234-3000
DR. FAYTH WALBRIDGE PHD
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Jackson County (308) 655-0842

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 Theodore Brisimitzakis's NPI number?

The NPI number for Theodore Brisimitzakis is 1245897859. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Theodore Brisimitzakis located?

Theodore Brisimitzakis practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Theodore Brisimitzakis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Theodore Brisimitzakis enrolled in Medicare?

Yes. Theodore Brisimitzakis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Brisimitzakis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Brisimitzakis reassigns Medicare benefits to The Children's Mercy Hospital (Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Brisimitzakis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Brisimitzakis accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Theodore Brisimitzakis 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 Theodore Brisimitzakis was last updated on July 16, 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.