EMMANUEL NICHOLAS SOULTANAKIS (MD) – Gynecologic Oncology Physician, NPI 1659489284
Gynecologic Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10 GYNECOLOGICAL ONCOLOGY in ME
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Provider Addresses for EMMANUEL NICHOLAS SOULTANAKIS (MD)
Portland Road, Saco, York County, Maine, 04072, United States
SCARBOROUGH, ME 040749701
Phone: (207) 396-8600
Fax: (207) 396-8632
Type: Mailing
102, Campus Drive, Oak Hill, Scarborough, Cumberland County, Maine, 04074, United States
SCARBOROUGH, ME 040749692
Phone: (207) 883-0069
Fax: (207) 883-0999
Type: Location
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: 2025-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130219000000 | I | Gynecological Oncology | ME | TBD |
| I20250319003101 | I | Gynecological Oncology | MO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 46 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 44 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 19 | $0 |
| 58571 | Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | 23 | 23 | $0 |
| 38900 | Imaging of lymph nodes during surgery | 16 | 16 | $0 |
Insurance plans in this area (ZIP 04074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MO | |
| Diagnostic Radiology | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | MO | |
| Hospitalist, Internal Medicine | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | MO |
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