GEORGIA THEODORA XENOPHONTOS
NPI 1396485264
Podiatrist - Foot & Ankle Surgery in Manhasset, NY

Active since March 30, 2022PECOS Enrolled
1165 NORTHERN BLVD STE 301, MANHASSET, NY 11030(516) 365-4545(516) 365-7111 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Theodora Xenophontos NPPES

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

GEORGIA THEODORA XENOPHONTOS (NPI 1396485264) is an individual foot & ankle surgery provider in Manhasset, New York, licensed in New York (007466) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396485264
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameGEORGIA THEODORA XENOPHONTOS
Location Address1165 NORTHERN BLVD STE 301Manhasset, NY 11030-3048
Mailing Address1165 Northern BlvdManhasset, NY 11030-3039 · (515) 316-4545 · Fax (515) 365-7111
Fax(516) 365-7111
Sole ProprietorNo
Enumeration DateMarch 30, 2022
Last NPPES UpdateJune 30, 2025
NPPES CertifiedJune 30, 2025
NPI 1396485264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NY · 007466
1165 NORTHERN BLVD STE 301, Manhasset, NY 11030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Georgia Theodora Xenophontos 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.

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
1165 NORTHERN BLVD STE 301
MANHASSET, NY 11030

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 Georgia Xenophontos's NPI number?

The NPI number for Georgia Xenophontos is 1396485264. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Georgia Xenophontos located?

Georgia Xenophontos practices at 1165 Northern Blvd Ste 301, Manhasset, NY 11030. The listed phone number is (516) 365-4545.

What is Georgia Xenophontos's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Georgia Xenophontos enrolled in Medicare?

Yes. Georgia Xenophontos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Georgia Xenophontos was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.