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DR. JOHN DEMETRIOS LAGOUTARIS D.P.M.
NPI 1780690867
Podiatrist - Foot Surgery in Saint Augustine, FL

Active since July 31, 2006PECOS Enrolled
300 KINGSLEY LAKE DR, STE. 402, SAINT AUGUSTINE, FL 32092(904) 826-1375(904) 779-4964 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Demetrios Lagoutaris D.p.m. NPPES

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

DR. JOHN DEMETRIOS LAGOUTARIS D.P.M. (NPI 1780690867) is an individual foot surgery provider in Saint Augustine, Florida, licensed in Florida (PO 3240) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780690867
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. JOHN DEMETRIOS LAGOUTARISCredential: D.P.M.
Location Address300 KINGSLEY LAKE DR, STE. 402Saint Augustine, FL 32092-3037
Mailing Address300 Kingsley Lake Dr, Ste. 402Saint Augustine, FL 32092-3037 · (904) 429-9859 · Fax (904) 429-9862
Phone(904) 826-1375
Fax(904) 779-4964
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 10, 2015
✔ NPI 1780690867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in FL · PO 3240
300 KINGSLEY LAKE DR, Saint Augustine, FL 32092
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Other Identifiers 3

Medicare UPINV10291FL
Medicare PINK4593AFL
Medicare PINK4593FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Demetrios Lagoutaris D.p.m. 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 3

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

EUGENE J. RANKIN, PH.D., ABPP
Psychologist (Cognitive & Behavioral)
300 KINGSLEY LAKE DR, SUITE 403
ST AUGUSTINE, FL 32092
St. Johns County (904) 281-0493
DR. EUGENE JOSEPH RANKIN PH.D.
Clinical Neuropsychologist
300 KINGSLEY LAKE DR, STE 401
ST AUGUSTINE, FL 32092
St. Johns County (904) 495-6800
EMMANUEL LAGOUTARIS, DPM, LLC
Podiatrist (Foot & Ankle Surgery)
300 KINGSLEY LAKE DR, STE. 402
ST AUGUSTINE, FL 32092
St. Johns County (904) 429-9859

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 John Lagoutaris's NPI number?

The NPI number for John Lagoutaris is 1780690867. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is John Lagoutaris located?

John Lagoutaris practices at 300 Kingsley Lake Dr Ste. 402, Saint Augustine, FL 32092. The listed phone number is (904) 826-1375.

What is John Lagoutaris's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is John Lagoutaris enrolled in Medicare?

Yes. John Lagoutaris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Lagoutaris was last updated on August 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.