DR. VASILIOS A KOSTAKIS DDS
NPI 1861815888
Dentist - Oral and Maxillofacial Surgery in Elmhurst, NY

Active since January 27, 2014Opted out of Medicare · through May 13, 2027
6070 WOODHAVEN BLVD STE C2, ELMHURST, NY 11373(718) 897-6400(718) 997-9710 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vasilios A Kostakis Dds NPPES

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

DR. VASILIOS A KOSTAKIS DDS (NPI 1861815888) is an individual oral and maxillofacial surgery provider in Elmhurst, New York, licensed in New York (059920) and active in the NPI registry since January 2014. He has opted out of Medicare through May 13, 2027 and remains eligible to order and refer and maintains a secondary practice location in New Hyde Park.

NPPES Registry Identity

NPI1861815888
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. VASILIOS A KOSTAKISCredential: DDS
Location Address6070 WOODHAVEN BLVD STE C2Elmhurst, NY 11373-5545
Mailing Address6070 Woodhaven Blvd Ste C2Elmhurst, NY 11373-5545 · (718) 897-6400 · Fax (718) 997-9710
Fax(718) 997-9710
Sole ProprietorNo
Enumeration DateJanuary 27, 2014
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1861815888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 059920
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
6070 WOODHAVEN BLVD STE C2, Elmhurst, NY 11373

Secondary Practice Location 1

Location 127005 76th Ave, DIVISION OF ORAL AND MAXILLOFACIAL SURGERYNew Hyde Park, NY 11040-1402 · Phone (718) 470-7113

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Vasilios A Kostakis Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2021 through May 13, 2027.

Opt-Out Effective DateMay 13, 2021
Opt-Out In Effect ThroughMay 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 Vasilios Kostakis's NPI number?

The NPI number for Vasilios Kostakis is 1861815888. It was assigned to this individual provider in the NPPES registry on January 27, 2014.

Where is Vasilios Kostakis located?

Vasilios Kostakis practices at 6070 Woodhaven Blvd Ste C2, Elmhurst, NY 11373. The listed phone number is (718) 897-6400.

What is Vasilios Kostakis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Vasilios Kostakis enrolled in Medicare?

No. Vasilios Kostakis has opted out of Medicare through May 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Vasilios Kostakis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Vasilios Kostakis 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 Vasilios Kostakis was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.