DR. AKILIS MIKE THEOHARIDIS D.P.M NPI 1912933474

NPI Information

  • NPI: 1912933474
  • Provider Name: DR. AKILIS MIKE THEOHARIDIS, D.P.M
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 407 NE 76TH TER
    GLADSTONE, MO
    ZIP 64118
  • Phone: (816) 436-7900

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NPI Details

DR. Akilis Mike Theoharidis, D.P.M is a foot surgery podiatrist in Gladstone, MO with 31 years of experience. DR. Akilis Mike Theoharidis, D.P.M NPI is 1912933474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1995

The provider's business location address is:

407 NE 76TH TER
GLADSTONE, MO
ZIP 64118-708
Phone: (816) 436-7900
Fax: (816) 436-0999

The NPI 1912933474 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Detection test for candida species (yeast), direct probe technique (HCPCS:87480)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/24/2006 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist000747MISSOURINo
2213ES0131XPodiatristFoot Surgery12-00294KANSASNo
3213ES0131XPodiatristFoot Surgery000747MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1308471408MEDICAIDMISSOURI
2480031700OTHERRAILROAD AHN
323501026OTHERBLUE KC
4308471432MEDICAIDMISSOURI
5480031697OTHERRAILROAD GLADSTONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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