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: October 18, 2026.

Record update history: Sep 14, 2026, May 12, 2023 (2 updates tracked since 2023).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 12, 2023
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1336839372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Internal Medicine
4725 N FEDERAL HWY
Fort Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 197 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.

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.

General Acute Care Hospital
374 STOCKHOLM ST
BROOKLYN, NY 11237
Internal Medicine (Infectious Disease)
374 STOCKHOLM ST
BROOKLYN, NY 11237
Internal Medicine
374 STOCKHOLM ST
BROOKLYN, NY 11237
Registered Nurse
374 STOCKHOLM ST
BROOKLYN, NY 11237
Family Medicine
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Obstetrics & Gynecology
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH
BROOKLYN, NY 11237
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT-SUITE I37N
BROOKLYN, NY 11237

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.

Which organization bills Medicare for Peter Athanasakos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Athanasakos reassigns Medicare benefits to Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL). 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 Peter Athanasakos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Athanasakos was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.