CONSTANTINE D MAVROUDIS M.D.
NPI 1316208218
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Philadelphia, PA
About Constantine D Mavroudis M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONSTANTINE D MAVROUDIS M.D. (NPI 1316208218) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD453196) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Constantine D Mavroudis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Constantine Mavroudis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 178 clinicians in this Medicare group
Round Rock, TX 78681
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Dell Childrens Medical Group
- 576 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Constantine Mavroudis's NPI number?
The NPI number for Constantine Mavroudis is 1316208218. It was assigned to this individual provider in the NPPES registry on June 6, 2012.
Where is Constantine Mavroudis located?
Constantine Mavroudis practices at 3400 Spruce St 4 Maloney, Philadelphia, PA 19104. The listed phone number is (215) 662-6157.
What is Constantine Mavroudis's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Constantine Mavroudis enrolled in Medicare?
Yes. Constantine Mavroudis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Constantine Mavroudis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Constantine Mavroudis reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Children's Surgical Associates Ltd (Philadelphia, PA) and Dell Children's Medical Group (Round Rock, TX). Each 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 Constantine Mavroudis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Constantine Mavroudis accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Constantine Mavroudis 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 Constantine Mavroudis was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Constantine D Mavroudis, M.D. · NPI 1316208218
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 6, 2012.
## Identity
- **NPI:** 1316208218 (Entity type: Individual)
- **Enumerated:** June 6, 2012
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** MD453196 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, 4 MALONEY, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-6157
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA); Children's Surgical Associates Ltd (NPI 1003985854, Philadelphia, PA); Dell Children's Medical Group (NPI 1790103869, Round Rock, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1316208218) · Data from the CMS NPPES public registry.