Individual provider

Petros Konofaos, M.D., PHD

Plastic and Reconstructive Surgery Physician Plastic Surgery Physician Surgery Physician Medicare enrolled

Petros Konofaos, M.D., PHD is a Plastic and Reconstructive Surgery Physician in Galveston, TX, registered under NPI 1720364367. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1005 HARBORSIDE DR 5TH FLOOR, Galveston, TX 77555. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1005 HARBORSIDE DR 5TH FLOOR, Galveston, TX 77555 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
U1064 TX Plastic and Reconstructive Surgery… primary
U1064 TX Plastic Surgery Physician
MD50989 TN Plastic Surgery Physician
U1064 TX Surgery Physician

Licences are recorded in 2 states: TX, TN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Plastic And Reconstructive Surgery
PAC ID
2264659895

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Tennessee I20140805002773 Practitioner - Plastic And Reconstructive Surgery
Texas I20221227000510 Practitioner - Plastic And Reconstructive Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. There are 2 separate enrolment records across 2 states (TN, TX). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Tennessee and Texas. The practice address on file is in Galveston, TX, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

TN Tennessee
Licence
MD50989
Specialty
Plastic Surgery Physician
Verify with the TN board →
TX Texas practice address
Licence
U1064
Specialty
Plastic and Reconstructive Surgery…
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Plastic and Reconstructive Surgery covers

A surgeon who specializes in plastic and reconstructive surgery. NUCC Health Care Provider Taxonomy, code 2086S0122X
Allopathic & Osteopathic Physicians Surgery Plastic and Reconstructive Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0122X Plastic and Reconstructive Surgery Physician Plastic and Reconstructive Surgery U1064 TX primary
208200000X Plastic Surgery Physician U1064 TX
208200000X Plastic Surgery Physician MD50989 TN
208600000X Surgery Physician U1064 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1720364367 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 27, 2011
Last updatedMay 22, 2023
StatusActive
Sole proprietorNo
CredentialM.D., PHD
Practice address 1005 HARBORSIDE DR
5TH FLOOR
Galveston, TX 77555
(409) 772-8115
Fax (409) 772-1872
Mailing address PO BOX 650859 DEPT. 710
Dallas, TX 75265
Other identifiers 08231501 · Medicaid (MS)
003180136A · Medicaid (GA)
Q007443 · Medicaid (TN)
1720364367 · Medicaid (MO)
177445 · Medicaid (AL)
204025001 · Medicaid (AR)
The last update on file is May 22, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1720364367 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 2 0 3 6 4 3 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 4 0 6 6 8 3 3

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1720364367?
NPI 1720364367 is the National Provider Identifier assigned to Petros Konofaos, M.D., PHD in Galveston, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic and Reconstructive Surgery cover?
A surgeon who specializes in plastic and reconstructive surgery.
How do I contact Petros Konofaos, M.D., PHD?
The phone number on file with NPPES is (409) 772-8115, last updated May 22, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Petros Konofaos, M.D., PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1720364367 a valid number?
Yes. 1720364367 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.