OrganizationActive
Total Medical Healthcare PC
NPI 1619377488 · Family Medicine Physician · Riverhead, NY
Provider details
- NPI number
- 1619377488
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dimos Kanakoudas, President(646) 824-1380
- License
- 33 337755 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 E Main St Ste 100
Riverhead, NY 11901-2672
Phone: (631) 591-3093
Fax: (631) 317-1010
Street-level locationGet directions
Mailing address
665 Treehouse Cir
St Augustine, FL 32095-6837
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2019-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.