Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1194257089
Thomas Fotakis FossM.D.
Active
NPI Number1194257089
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1194257089
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-03-30
Last Updated2025-05-07
Mailing Address1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
United States
Phone: (480) 827-5500
📍 View Map
Primary Practice Address1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
United States
Phone: (480) 827-5500
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207Q00000X – Family MedicineAZ60354
Yes207Q00000X – Family MedicineTXV7212
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About NPI 1194257089

Thomas Fotakis Foss M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1194257089. The primary specialty listed is Family Medicine. The provider is located in Mesa, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1194257089?

NPI 1194257089 belongs to Thomas Fotakis Foss M.D., a Family Medicine in Mesa, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1194257089 active?

The current status of NPI 1194257089 in the NPPES registry is Active. The record was last updated on 2025-05-07.

What specialty is NPI 1194257089?

NPI 1194257089 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1194257089?

You can verify NPI 1194257089 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1194257089?

The primary practice address on file for NPI 1194257089 is 1300 S Country Club Dr Ste 3, Mesa, AZ 85210-5162. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1194257089 issued?

NPI 1194257089 was first issued (enumerated) on 2017-03-30. The NPPES record was last updated on 2025-05-07.

Practice Location Map

Thomas Fotakis Foss is located at 1300 S Country Club Dr Ste 3, Mesa, AZ. Use the map below to find directions or verify the practice location.

📍 1300 S Country Club Dr Ste 3, Mesa, AZ 85210-5162  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Thomas Fotakis Foss. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1194257089. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine60354AZ
Family MedicineV7212TX
Data Verified from CMS NPPES Last synced: 2026-07-13 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162