Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Akilis Mike Theoharidis, DPM

Individual provider Podiatrist · NPI 1912933474

Dr. Akilis Mike Theoharidis, DPM is a Podiatry in Gladstone, Missouri. Graduated from Perelman School of Med at the University of Pennsylvania in 1995, 31 years ago. Practices with Ankle and Foot Centers of Missouri PC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
31
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
KS, MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

407 NE 76th Ter
Gladstone, MO 64118-1708
Phone: (816) 436-7900
Fax: (816) 436-0999
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Holmes St, Kansas City, MO 64108-2640 — (816) 404-0044

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 000747 (MO)
Podiatrist Taxonomy 213E00000X · Licence 000747 (MO)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 12-00294 (KS)

Record details

NPI number1912933474
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 1995 (31 years in practice)
Group practice Ankle And Foot Centers Of Missouri Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gladstone