DR. CONSTANTINOS CHRYSOSTOMOU MD
NPI 1801868658
Pediatrics - Pediatric Cardiology in Fountain Valley, CA

Active since February 06, 2006PECOS Enrolled
17360 BROOKHURST STREET, ATTN: NETWORK MANAGEMENT, FOUNTAIN VALLEY, CA 92708(714) 377-2900 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Constantinos Chrysostomou Md NPPES

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

DR. CONSTANTINOS CHRYSOSTOMOU MD (NPI 1801868658) is an individual pediatric cardiology provider in Fountain Valley, California, licensed in California (C129462) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1801868658
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. CONSTANTINOS CHRYSOSTOMOUCredential: MD
Location Address17360 BROOKHURST STREET, ATTN: NETWORK MANAGEMENTFountain Valley, CA 92708-3720
Mailing Address17360 Brookhurst Street, Attn: Network ManagementFountain Valley, CA 92708-3720 · (714) 377-2900
Sole ProprietorNo
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1801868658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in CA · C129462✔ Licensed in FL · ME126009
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedSpecialistTaxonomy 174400000X · License MD426904 (PA)
17360 BROOKHURST STREET, Fountain Valley, CA 92708

Secondary Practice Location 1

Location 113535 Nemours Pkwy, Nemours Childrens HospitalOrlando, FL 32827-7402 · Phone (407) 567-4000 · Fax (407) 567-5924

Other Identifiers 2

Medicaid101479082PA
Medicaid016288000FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Constantinos Chrysostomou Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Constantinos Chrysostomou reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
Internal Medicine
101 ACADEMY STE 100
Irvine, CA 92617
  • Reassigned Medicare billing, California enrollment
  • 118 clinicians in this Medicare group
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

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

Internal Medicine
17360 BROOKHURST STREET
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Family)
17360 BROOKHURST STREET, ATTN: WHOLE LIFE DEPARTMENT
FOUNTAIN VALLEY, CA, CA 92708
Marriage & Family Therapist
17360 BROOKHURST STREET
FOUNTAIN VALLEY, CA 92708
Hospitalist
17360 BROOKHURST STREET, ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST STREET, ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST STREET
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST STREET
FOUNTAIN VALLEY, CA 92708
Internal Medicine
17360 BROOKHURST STREET
FOUNTAIN VALLEY, CA 92708

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 Constantinos Chrysostomou's NPI number?

The NPI number for Constantinos Chrysostomou is 1801868658. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Constantinos Chrysostomou located?

Constantinos Chrysostomou practices at 17360 Brookhurst Street Attn: Network Management, Fountain Valley, CA 92708. The listed phone number is (714) 377-2900.

What is Constantinos Chrysostomou's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Constantinos Chrysostomou enrolled in Medicare?

Yes. Constantinos Chrysostomou is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Constantinos Chrysostomou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constantinos Chrysostomou reassigns Medicare benefits to 3 organizations: Memorialcare Medical Foundation (Fountain Valley, CA), Confermed Of California PC (Irvine, CA) and Children's Physician Services Of South Texas (Corpus Christi, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Constantinos Chrysostomou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Constantinos Chrysostomou accept?

Health plans from Blue Cross and Blue Shield of Texas list Constantinos Chrysostomou 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.

When was this NPI record last updated?

The NPPES record for Constantinos Chrysostomou was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.