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DR. ELENI ANASTASIA TOUSIMIS M.D.
NPI 1609972033
Surgery in Miami, FL

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
8900 N KENDALL DR, MIAMI, FL 33176(786) 596-2000(305) 279-7778 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eleni Anastasia Tousimis M.d. NPPES

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

DR. ELENI ANASTASIA TOUSIMIS M.D. (NPI 1609972033) is an individual surgery provider in Miami, Florida, licensed in Florida (ME151428) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1609972033
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ELENI ANASTASIA TOUSIMISCredential: M.D.
Location Address8900 N KENDALL DRMiami, FL 33176-2118
Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 662-7980
Phone(786) 596-2000
Fax(305) 279-7778
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1609972033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME151428
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8900 N KENDALL DR, Miami, FL 33176
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eleni Anastasia Tousimis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870586332
PECOS Enrollment IDI20210813000786
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
238 services168 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
51 services49 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
48 services48 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
24 services24 patients
Removal of growth of breast identified by x-ray marker, first growth 19125
This procedure involves removing an abnormal growth in the breast that has been identified by an x-ray marker. The growth is first located, then carefully removed. This is done to ensure your health and prevent potential issues.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

DR. GLADYS LINDA GIRON M.D.
Surgery (Surgical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-2000
CLAUDIA PAULINA GUZMAN PA-C
Physician Assistant
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-2000
DR. JUSTIN MATTHEW RAFAEL MD
Radiology (Diagnostic Radiology)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-1960
DR. SHEENA MEHTA ZAPATA M.D.
Internal Medicine (Hospice and Palliative Medicine)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (789) 596-2000
DR. ANNA PRISCILA DOMINGUEZ ESPAILLAT M.D.
Obstetrics & Gynecology
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-1960
SARBAJIT MUKHERJEE
Internal Medicine (Medical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-2000
RAJIV DODDAMANI
Hospitalist
8900 N KENDALL DR
MIAMI, FL 33176
Miami-Dade County (786) 596-6743
ARELIS M RIVERA ARNP
Nurse Practitioner (Family)
8900 N KENDALL DR, MIAMI CANCER INSTITUTE
MIAMI, FL 33176
Miami-Dade County (786) 596-2000

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 Eleni Tousimis's NPI number?

The NPI number for Eleni Tousimis is 1609972033. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Eleni Tousimis located?

Eleni Tousimis practices at 8900 N Kendall Dr, Miami, FL 33176. The listed phone number is (786) 596-2000.

What is Eleni Tousimis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Eleni Tousimis enrolled in Medicare?

Yes. Eleni Tousimis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eleni Tousimis accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Wellpoint list Eleni Tousimis 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.

Is Eleni Tousimis affiliated with any hospitals?

According to CMS data, Eleni Tousimis is affiliated with Baptist Hospital Of Miami and South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Eleni Tousimis was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.