POLYXENI MOUHTOURI DIMOPOULOS MD
NPI 1821104498
Obstetrics & Gynecology in Williamsville, NY

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
2240 NORTH FOREST ROAD, WILLIAMSVILLE, NY 14221(716) 639-4034(716) 929-8940 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 2, 2018, Sep 22, 2017 (2 updates tracked since 2017).

About Polyxeni Mouhtouri Dimopoulos Md NPPES

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

POLYXENI MOUHTOURI DIMOPOULOS MD (NPI 1821104498) is an individual obstetrics & gynecology provider in Williamsville, New York, licensed in New York (265937) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1821104498
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePOLYXENI MOUHTOURI DIMOPOULOSCredential: MD
Location Address2240 NORTH FOREST ROADWilliamsville, NY 14221
Mailing Address2240 North Forest RoadWilliamsville, NY 14221 · (716) 639-4034 · Fax (716) 929-8940
Fax(716) 929-8940
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 2, 20182 updates tracked since enumeration
✔ NPI 1821104498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 265937
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2240 NORTH FOREST ROAD, Williamsville, NY 14221

Other Names 1

Professional Name (2)Miss Polyxeni Dimopoulos Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Polyxeni Mouhtouri Dimopoulos Md 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 ID3678673142
PECOS Enrollment IDI20070717000184
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 Reassignment

Medicare enrollment records show Polyxeni Mouhtouri Dimopoulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
2240 NORTH FOREST RD.
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 22 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.

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
2240 NORTH FOREST ROAD
WILLIAMSVILLE, NY 14221
Obstetrics & Gynecology
2240 NORTH FOREST ROAD
WILLIAMSVILLE, NY 14221

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 Polyxeni Mouhtouri Dimopoulos's NPI number?

The NPI number for Polyxeni Mouhtouri Dimopoulos is 1821104498. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Miss Polyxeni Dimopoulos MD.

Where is Polyxeni Mouhtouri Dimopoulos located?

Polyxeni Mouhtouri Dimopoulos practices at 2240 North Forest Road, Williamsville, NY 14221. The listed phone number is (716) 639-4034.

What is Polyxeni Mouhtouri Dimopoulos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Polyxeni Mouhtouri Dimopoulos enrolled in Medicare?

Yes. Polyxeni Mouhtouri Dimopoulos 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.

Which organization bills Medicare for Polyxeni Mouhtouri Dimopoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polyxeni Mouhtouri Dimopoulos reassigns Medicare benefits to Audubon Women's Medical Associates, PC (Williamsville, NY). The 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 Polyxeni Mouhtouri Dimopoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Polyxeni Mouhtouri Dimopoulos was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.