DR. ATHENA KABOURIS DMD
NPI 1821554510
Dentist - Pediatric Dentistry in Suffern, NY

Q: What is Athena Kabouris's NPI number?

The NPI number for Athena Kabouris is 1821554510. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Q: What is Athena Kabouris's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Athena Kabouris 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 15 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.

Active since February 18, 2019PECOS Enrolled

29 N AIRMONT RD STE 202, SUFFERN, NY 10901(845) 369-3703 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2025, Feb 16, 2021, Feb 18, 2019 (3 updates tracked since 2019).

On this page

About Dr. Athena Kabouris Dmd NPPES

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

DR. ATHENA KABOURIS DMD (NPI 1821554510) is an individual pediatric dentistry provider in Suffern, New York, licensed in New York (061547-01) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821554510

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. ATHENA KABOURISCredential: DMD

Location Address29 N AIRMONT RD STE 202Suffern, NY 10901-4221

Mailing Address1824 Madison AveNew York, NY 10035-3832 · (212) 423-4400

Phone(845) 369-3703

Sole ProprietorNo

Enumeration DateFebruary 18, 2019

Last NPPES UpdateMay 8, 20253 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1821554510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NY · 061547-01

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

29 N AIRMONT RD STE 202, Suffern, NY 10901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC 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 (PECOS)

Dr. Athena Kabouris Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10901 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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 Athena Kabouris's NPI number?

The NPI number for Athena Kabouris is 1821554510. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Athena Kabouris located?

Athena Kabouris practices at 29 N Airmont Rd Ste 202, Suffern, NY 10901. The listed phone number is (845) 369-3703.

What is Athena Kabouris's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Athena Kabouris enrolled in Medicare?

Yes. Athena Kabouris is registered in the Medicare PECOS enrollment system.

What insurance does Athena Kabouris accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Athena Kabouris 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 Athena Kabouris 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 15 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.