DR. KOSTANTINOS PANTELIS POULIKIDIS M.D.
NPI 1689018830
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Edison, NJ

Q: What is Kostantinos Poulikidis's NPI number?

The NPI number for Kostantinos Poulikidis is 1689018830. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Q: What is Kostantinos Poulikidis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

80 JAMES ST, EDISON, NJ 08820(732) 635-9300 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Jun 8, 2021, Aug 24, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Kostantinos Pantelis Poulikidis M.d. NPPES

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

DR. KOSTANTINOS PANTELIS POULIKIDIS M.D. (NPI 1689018830) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Edison, New Jersey, licensed in New Jersey (25MA11659600) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of New York Medical College (2013).

NPPES Registry Identity

NPI1689018830

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. KOSTANTINOS PANTELIS POULIKIDISCredential: M.D.

Location Address80 JAMES STEdison, NJ 08820-3938

Mailing Address80 James StEdison, NJ 08820-3938

Phone(732) 635-9300

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2013

Enumeration DateApril 18, 2013

Last NPPES UpdateJanuary 22, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1689018830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in NJ · 25MA11659600

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

80 JAMES ST, Edison, NJ 08820

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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 and accepts Medicare assignment

Dr. Kostantinos Pantelis Poulikidis 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 ID9638429608

PECOS Enrollment IDI20230106002196

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

104 services67 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

27 services26 patients

Aspiration of initial secretion of lung airway using an endoscope 31645

This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.

18 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310112

Location727 N Beers StHolmdel, NJ 07733 · Monmouth County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

75.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

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. DAN DANIELS M.D.

Specialist

80 JAMES ST, 4TH FLOOR
EDISON, NJ 08820

Middlesex County (732) 632-1571

MUHLENBER REGIONAL MEDICAL CTR

Specialist

80 JAMES ST, 4TH FLOOR
EDISON, NJ 08820

Middlesex County (732) 632-1571

JFK AMBULATORY CARE

Clinic/Center

80 JAMES ST
EDISON, NJ 08820

Middlesex County (732) 321-7000

COMMUNITY HOSPITAL GROUP, INC

Specialist

80 JAMES ST, 4TH FLOOR
EDISON, NJ 08820

Middlesex County (732) 632-1571

MUHLENBERG REGIONAL MEDICAL CENTER

Psychiatric Unit

80 JAMES ST, 4TH FLOOR
EDISON, NJ 08820

Middlesex County (732) 632-1571

COMMUNITY HOSPITAL GROUP INC

Specialist

80 JAMES ST, 4TH FLOOR
EDISON, NJ 08820

Middlesex County (732) 632-1571

COMMUNITY HOSPITAL GROUP, INC

Specialist

80 JAMES ST, 4TH FLOOR
EDISON, NJ 08820

Middlesex County (732) 632-1571

LEENA BONDILI MD

Internal Medicine (Hematology & Oncology)

80 JAMES ST, 3RD FLOOR
EDISON, NJ 08820

Middlesex County (732) 750-1200

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 Kostantinos Poulikidis's NPI number?

The NPI number for Kostantinos Poulikidis is 1689018830. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Kostantinos Poulikidis located?

Kostantinos Poulikidis practices at 80 James St, Edison, NJ 08820. The listed phone number is (732) 635-9300.

What is Kostantinos Poulikidis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Kostantinos Poulikidis enrolled in Medicare?

Yes. Kostantinos Poulikidis 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.

Is Kostantinos Poulikidis affiliated with any hospitals?

According to CMS data, Kostantinos Poulikidis is affiliated with Raritan Bay Medical Center, Jfk Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Kostantinos Poulikidis was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.