IAKOVOS ANASTASAKIS – Psychiatry Physician, NPI 1104409770

IAKOVOS ANASTASAKIS is a healthcare provider. based in Midlothian, Virginia. specializing in PSYCHIATRY. They hold a License No. 0101276358 (VA). The NPI Number for IAKOVOS ANASTASAKIS is 1104409770

Main info

Male
5 Years Of Experience
Name
IAKOVOS ANASTASAKIS
NPI
1104409770
Phone
(804) 378-0800
Address
13901 COALFIELD COMMONS PL STE 102
Enumeration Date
3 May 2021
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8043780800
Graduation Year
2021 (5 years ago)
PAC ID
6204230972
Group Practice PAC ID
3476443797
Professional Enrollment ID
I20250520002461
Address ID
VA231141219MI13901PLXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,034 PSYCHIATRY in VA

Provider Addresses for IAKOVOS ANASTASAKIS

  • 13901 COALFIELD COMMONS PL STE 102

    MIDLOTHIAN, VA 231141219

    Phone: (804) 378-0800

    Type: Mailing

  • VCUHS GMEA

    BOX 980710

    RICHMOND, VA 232980710

    Phone: (804) 828-7912

    Type: Mailing

  • VCUHS DEPT OF PSYCHIATRY RESIDENCY, 980710

    1250 E. MARSHALL STREET

    RICHMOND, VA 232980710

    Phone: (804) 828-7912

    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: 2025-05-20

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
I20250520002461IPsychiatryVATBD

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 23114)

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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: 3476443797View full group profile
NameSpecialtyState
P S Y C H I A T R YVA
Nurse PractitionerVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YMO
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What NPI should I save for IAKOVOS ANASTASAKIS?
Save NPI 1104409770 if you need a stable reference for IAKOVOS ANASTASAKIS.
Is IAKOVOS ANASTASAKIS's NPI currently valid?
The extract we use shows IAKOVOS ANASTASAKIS as active.
What kind of provider is IAKOVOS ANASTASAKIS?
The page reflects Psychiatry Physician for IAKOVOS ANASTASAKIS. Clinical services aligned with this taxonomy classification.
Where is IAKOVOS ANASTASAKIS's primary listing?
We display Midlothian, Virginia because that is what the record indicates for IAKOVOS ANASTASAKIS.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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