Active NPI
Emanuel L Kouroupos, MD
- Gastroenterology Physician
- Astoria, NY
National Provider Identifier
1043281280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 155527
- Practice address
- 2747 Crescent St
Suite 206
Astoria, NY 11102 - Phone
- (718) 204-1100
- Fax
- (718) 204-2049
- NPI assigned
- Jan 27, 2006
- Last updated
- May 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 155527-1 | NY | |
| Specialist | 174400000X | 155527-1 | NY | |
| Gastroenterology Physician | 207RG0100X | 155527 | NY | Primary |
Addresses
Primary practice location
2747 Crescent St
Suite 206
Astoria, NY 11102
Mailing address
27-47 Crescent Street
Suite 206
Astoria, NY 11102
Phone (718) 204-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00869470 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2747 Crescent St
Suite 206
Astoria, NY 11102-3142
Phone (718) 204-1100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 164 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155527-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanuel L. Kouroupos, M.D., P.C. | Gastroenterology | Current | Accepting new patients |
| Francis Lewis Medical, P.C. | Current | Accepting new patients |
Locations
2747 Crescent St
#206
Long Island City, NY 11102
Phone (718) 204-1100
2747 Crescent St
Ste 206
Long Island City, NY 11102
Phone (718) 204-1100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Astoria, NY
- NPI 1457408163
-
- Endoscopy Clinic/Center
- Astoria, NY
- NPI 1619308038
-
- Anesthesiology Physician
- Bayside, NY
- NPI 1871868588
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1043281280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27-47 CRESCENT STREET",
"address_2": "SUITE 206",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11102",
"telephone_number": "718-204-1100",
"fax_number": "718-204-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2747 CRESCENT ST",
"address_2": "SUITE 206",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11102",
"telephone_number": "718-204-1100",
"fax_number": "718-204-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUROUPOS",
"first_name": "EMANUEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "NY",
"license": "155527-1",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "155527-1",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "155527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00869470",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.