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MR. PETER LOUIS ATHANASAKOS MD
NPI 1336839372
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 12, 2023PECOS Enrolled
374 STOCKHOLM ST, BROOKLYN, NY 11237(718) 963-7272 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Peter Louis Athanasakos Md NPPES

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

MR. PETER LOUIS ATHANASAKOS MD (NPI 1336839372) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336839372
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PETER LOUIS ATHANASAKOSCredential: MD
Location Address374 STOCKHOLM STBrooklyn, NY 11237
Mailing Address374 Stockholm StBrooklyn, NY 11237 · (917) 915-8827
Phone(718) 963-7272
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 12, 2023
NPPES CertifiedMay 12, 2023
✔ NPI 1336839372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

374 STOCKHOLM ST, Brooklyn, NY 11237
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Peter Louis Athanasakos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537631585
PECOS Enrollment IDI20260610004704
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.

GABY DABOUL M.D
General Acute Care Hospital
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 963-7272
AMIT DHALIWAL MD
Internal Medicine (Infectious Disease)
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 963-7272
SAMER ATTIA MD
Internal Medicine
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 963-6466
TECIA MADURIE RN
Registered Nurse
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 501-1983
DR. FARIDEH ZONOUZI-ZADEH M.D.
Family Medicine
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Kings County (718) 963-6551
DR. BALA KRISHNA BABJI RAVI M.D.
Obstetrics & Gynecology
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Kings County (718) 963-6551
DIANE CHRIST P.A.
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH
BROOKLYN, NY 11237
Kings County (718) 963-6551
MRS. BHAKTI SHAH RPA-C
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT-SUITE I37N
BROOKLYN, NY 11237
Kings County (914) 654-6543

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 Peter Athanasakos's NPI number?

The NPI number for Peter Athanasakos is 1336839372. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Peter Athanasakos located?

Peter Athanasakos practices at 374 Stockholm St, Brooklyn, NY 11237. The listed phone number is (718) 963-7272.

What is Peter Athanasakos's specialty?

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

Is Peter Athanasakos enrolled in Medicare?

Yes. Peter Athanasakos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Athanasakos was last updated on May 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.