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DEMETRIUS MOUTSIAKIS M.D., M.P.H.
NPI 1861717860
General Practice in Farmingville, NY

Active since April 01, 2010PECOS Enrolled
400 HORSEBLOCK RD, FARMINGVILLE, NY 11738(631) 698-1552 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Demetrius Moutsiakis M.d., M.p.h. NPPES

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

DEMETRIUS MOUTSIAKIS M.D., M.P.H. (NPI 1861717860) is an individual general practice provider in Farmingville, New York, licensed in New York (212315-1) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1997).

NPPES Registry Identity

NPI1861717860
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDEMETRIUS MOUTSIAKISCredential: M.D., M.P.H.
Location Address400 HORSEBLOCK RDFarmingville, NY 11738-1252
Mailing Address400 Horseblock RdFarmingville, NY 11738-1252 · (631) 698-1552
Phone(631) 698-1552
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1997
Enumeration DateApril 1, 2010
✔ NPI 1861717860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 212315-1
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 212315-1 (NY)
400 HORSEBLOCK RD, Farmingville, NY 11738
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demetrius Moutsiakis M.d., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143464487
PECOS Enrollment IDI20130926000420
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 8

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

MRS. DANIELLE MARIE RAMOS ANP
Internal Medicine (Geriatric Medicine)
400 HORSEBLOCK RD, SUITE H
FARMINGVILLE, NY 11738
Suffolk County (631) 451-2211
INGRID GORDON-PATTERSON
Nurse Practitioner (Adult Health)
400 HORSEBLOCK RD, STE H
FARMINGVILLE, NY 11738
Suffolk County (631) 451-2211
STATPSYCH LLP
Psychiatry & Neurology (Psychiatry)
400 HORSEBLOCK RD
FARMINGVILLE, NY 11738
Suffolk County (516) 736-0319
HORSEBLOCK MEDICAL PC
Physical Medicine & Rehabilitation (Pain Medicine)
400 HORSEBLOCK RD
FARMINGVILLE, NY 11738
Suffolk County (631) 698-1552
MRS. KATHLENE RAHL P.A.
Physician Assistant (Medical)
400 HORSEBLOCK RD, SUITE H
FARMINGVILLE, NY 11738
Suffolk County (631) 451-2211
MR. CHRISTOPHER E. O'SULLIVAN L.M.T.
Massage Therapist
400 HORSEBLOCK RD, SUITE E
FARMINGVILLE, NY 11738
Suffolk County (631) 698-1552
SAW MEDICAL SERVICES PC
Physical Medicine & Rehabilitation
400 HORSEBLOCK RD, SUITE E
FARMINGVILLE, NY 11738
Suffolk County (631) 698-1552
PAULA DAGROSA-MANSO A.N.P.
Nurse Practitioner
400 HORSEBLOCK RD
FARMINGVILLE, NY 11738
Suffolk County (631) 451-2211

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 Demetrius Moutsiakis's NPI number?

The NPI number for Demetrius Moutsiakis is 1861717860. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Demetrius Moutsiakis located?

Demetrius Moutsiakis practices at 400 Horseblock Rd, Farmingville, NY 11738. The listed phone number is (631) 698-1552.

What is Demetrius Moutsiakis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Demetrius Moutsiakis enrolled in Medicare?

Yes. Demetrius Moutsiakis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Demetrius Moutsiakis was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.