Dr Leon Dimitrios Boudourakis, MD, MHS - Medicare Surgery in Brooklyn, NY

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Dr Leon Dimitrios Boudourakis, MD, MHS is a medicare enrolled "Surgery - Trauma Surgery" physician in Brooklyn, New York. His current practice location is 451 Clarkson Ave, Box 22, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 245-2026.

Dr Leon Dimitrios Boudourakis is licensed to practice in New York (license number 256935) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073771051.

Contact Information

Dr Leon Dimitrios Boudourakis, MD, MHS
451 Clarkson Ave, Box 22,
Brooklyn, NY 11203-2054
(718) 245-2026
Not Available

Map and Direction




Physician's Profile

Full NameDr Leon Dimitrios Boudourakis
GenderMale
SpecialitySurgery - Trauma Surgery
Location451 Clarkson Ave, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073771051
  • Provider Enumeration Date: 05/27/2008
  • Last Update Date: 04/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9335461037
  • Enrollment ID: I20151007000628

Medical Identifiers

Medical identifiers for Dr Leon Dimitrios Boudourakis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073771051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0102XSurgery - Surgical Critical Care 256935 (New York)Secondary
2086S0127XSurgery - Trauma Surgery 256935 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Leon Dimitrios Boudourakis allows following entities to bill medicare on his behalf.
Entity NameDowntown Bronx Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609120674
PECOS PAC ID: 8224282926
Enrollment ID: O20130205000439
Entity NamePhysician Affiliate Group Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leon Dimitrios Boudourakis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leon Dimitrios Boudourakis, MD, MHS
451 Clarkson Ave, Box 22,
Brooklyn, NY 11203-2054

Ph: (718) 245-2026		Dr Leon Dimitrios Boudourakis, MD, MHS
451 Clarkson Ave, Box 22,
Brooklyn, NY 11203-2054

Ph: (718) 245-2026

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.