DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) – Pediatric Nephrology Physician, NPI 1154523348

DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) is a healthcare provider. based in Miami, Florida. specializing in PEDIATRIC MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. ME104652 (FL). The NPI Number for DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) is 1154523348

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRYSO PEFKAROS KATSOUFIS (M.D.)
NPI
1154523348
Phone
(305) 585-6726
Address
1611 NW 12TH AVE
Enumeration Date
1 June 2007
Last Update Date
24 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3055471496
Graduation Year
2006 (20 years ago)
PAC ID
3678720521
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20120828000401
Address ID
FL331361005MI1611XAVEN501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

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Provider Addresses for DR. CHRYSO PEFKAROS KATSOUFIS (M.D.)

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 585-6726

    Fax: (305) 585-7025

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120828000401IPediatric MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274795109View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CHRYSO PEFKAROS KATSOUFIS (M.D.)?
DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) — NPI 1154523348 — is the standard way to identify this listing.
Does the file indicate DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) is practicing under active NPI?
Directory data currently reports DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) as active.
What is DR. CHRYSO PEFKAROS KATSOUFIS (M.D.)'s specialty?
The listing groups DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) with Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) based?
DR. CHRYSO PEFKAROS KATSOUFIS (M.D.) is tied to Miami, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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