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

Dr. George Kakoulides, MD

Individual provider Neurological Surgery Physician · NPI 1417154733

Dr. George Kakoulides, MD is a Neurosurgery in West Islip, New York. Graduated from Tufts University School of Medicine in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Hampshire and New York.

Years since qualifying
19
Trained at
Tufts University School of Medicine
Licensed in
NH, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

380 Montauk Hwy
West Islip, NY 11795-4403
Phone: (631) 422-5371
Fax: (631) 422-5371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 275213 (NY)
Neurological Surgery Physician Taxonomy 207T00000X · Licence RT-1751 (NH)

Record details

NPI number1417154733
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 29, 2007
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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