GEORGE KAKOULIDES MD PC
NPI 1841717618
Neurological Surgery in West Islip, NY

Active since August 23, 2017
380 MONTAUK HWY, WEST ISLIP, NY 11795(631) 422-5371(631) 893-8012 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2022, Aug 23, 2017 (2 updates tracked since 2017).

About George Kakoulides Md Pc NPPES

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

GEORGE KAKOULIDES MD PC (NPI 1841717618) is a healthcare organization registered as a neurological surgery in West Islip, New York and active in the NPI registry since August 2017. The organization lists George Kakoulides, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1841717618
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameGEORGE KAKOULIDES MD PC
Location Address380 MONTAUK HWYWest Islip, NY 11795-4403
Mailing Address380 Montauk HwyWest Islip, NY 11795-4403 · (631) 422-5371 · Fax (631) 893-8012
Fax(631) 893-8012
Organization SubpartNo
Authorized OfficialGeorge KakoulidesDirect Owner · (631) 422-5371
Enumeration DateAugust 23, 2017
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1841717618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NY · 275213
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
380 MONTAUK HWY, West Islip, NY 11795

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George Kakoulides Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to George Kakoulides MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurosurgery
NPI 1417154733
380 MONTAUK HWY
West Islip, NY 11795
(631) 422-5371
✔ PECOS✔ Accepts MedicareSame address

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

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 George Kakoulides MD PC's NPI number?

The NPI number for George Kakoulides MD PC is 1841717618. It was assigned to this organization in the NPPES registry on August 23, 2017.

Where is George Kakoulides MD PC located?

George Kakoulides MD PC is located at 380 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 422-5371.

What is George Kakoulides MD PC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is George Kakoulides MD PC enrolled in Medicare?

Yes. George Kakoulides MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through George Kakoulides MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to George Kakoulides MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for George Kakoulides MD PC was last updated on January 20, 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.