ANDREAS C NIKOLAIDIS, MD, PA - NPI 1376868232

Q: What is Andreas C Nikolaidis, MD, PA's NPI number?

The NPI number for Andreas C Nikolaidis, MD, PA is 1376868232. It was assigned to this organization in the NPPES registry on April 5, 2010.

Q: What is Andreas C Nikolaidis, MD, PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Andreas C Nikolaidis, Md, Pa NPPES

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

ANDREAS C NIKOLAIDIS, MD, PA (NPI 1376868232) is a healthcare organization registered as a pediatrics in Porter, Texas and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Andreas C Nikolaidis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376868232

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameANDREAS C NIKOLAIDIS, MD, PA

Location Address24375 FM 1314 RDPorter, TX 77365-4205

Mailing Address24375 Fm 1314 Rd, Po Box 734Porter, TX 77365-4205 · (281) 354-5663 · Fax (281) 354-1995

Phone(281) 354-5663

Fax(281) 354-1995

Organization SubpartNo

Authorized OfficialAndreas C NikolaidisAdministrator · (281) 354-5663

Enumeration DateApril 5, 2010

✔ NPI 1376868232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · L3042

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

24375 FM 1314 RD, Porter, TX 77365

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Other Names 1

Doing Business AsAndreas C Nikolaidis, Md, Pa

Other Identifiers 5

Medicaid151052103TX

Medicaid151052102TX

Medicaid151052101TX

Medicare PIN00652FTX

Medicare UPINH62730TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0495129

Andreas C Nikolaidis MD, PA · Porter, TX

Active · expires Dec 22, 2027

CLIA Number45D0495129

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorAndreas C. Nikolaidis

Laboratory Phone(281) 354-5663

Laboratory LocationAndreas C Nikolaidis MD, PA24375 Fm 1314, Porter, TX 77365

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVA BANKSTON FNP-C

Nurse Practitioner (Family)