DR. IOANNIS KOUTROULIS M.D. PH.D. MBA NPI 1417260985

NPI Information

NPI: 1417260985
Provider Name: DR. IOANNIS KOUTROULIS, M.D., PH.D., MBA
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
111 MICHIGAN AVE NW
WASHINGTON, DC
ZIP 20010
Phone: (202) 476-5000
Get Directions

DR. Ioannis Koutroulis, M.D., PH.D., MBA is a pediatric emergency medicine pediatrics in Washington, DC. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Ioannis Koutroulis, M.D., PH.D., MBA NPI is 1417260985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 MICHIGAN AVE NW
WASHINGTON, DC
ZIP 20010-916
Phone: (202) 476-5000

The NPI 1417260985 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2010 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD446360	PENNSYLVANIA	No
2	208000000X	Pediatrics		250073	MASSACHUSETTS	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD446360	PENNSYLVANIA	No
4	2080P0204X	Pediatrics	Pediatric Emergency Medicine	D0086608	MARYLAND	No
5	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD044309	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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