Anthony Peter Koulianos, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35072348K Issued in OH

Practice address

935 Trailwood Dr Ste a
Youngstown, OH 44512-5062

Phone

(330) 953-3204

Fax

(330) 953-3206

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Northeastern Ohio University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akoulianos34028@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anthony P. Koulianos MD Inc

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Youngstown, OH
  • NPI 1336584564
  Medicare reassignment NPD Authorized official
• Patrick J Skarote MD Inc

  • Obstetrics & Gynecology Physician
  • Boardman, OH
  • NPI 1104153139
  NPD
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1790868982
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Surgery Center at Southwoods, LLC

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1013997451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 TRAILWOOD DR STE A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125062",
            "telephone_number": "330-953-3204",
            "fax_number": "330-953-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 TRAILWOOD DR STE A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125062",
            "telephone_number": "330-953-3204",
            "fax_number": "330-953-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOULIANOS",
        "first_name": "ANTHONY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35072348K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021010",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Koster
• Alicia Kostyk
• Louise A. Kotel, LSW
• Marylynn Kotis
• Michelle Kotte, CNP
• Dominic Koulianos
• Jennifer Lynn Kovacs, ST
• John M Koval, MD
• Suvir P Kovoor, MD
• Carol M Kowach, R.PH.

• Obstetrics & Gynecology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.