Maria Koutourousiou, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

47345 Issued in KY

Practice address

200 Abraham Flexner Way
SE #1200
Louisville, KY 40202-3826

Phone

(502) 899-3623

Fax

(502) 899-7970

NPI assigned

Mar 27, 2012

Last updated

Jan 8, 2015By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1093081713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "address_2": "STE #1200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-899-3623",
            "fax_number": "502-899-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "address_2": "SE #1200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023826",
            "telephone_number": "502-899-3623",
            "fax_number": "502-899-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTOUROUSIOU",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "47345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100305640",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Jaya Kotha, MD
• Shilpa Kothakapu
• Yash Naresh Kothari, M.D.
• Jenae Kotter, MSN, FNP-C, APRN
• Heba Kourahbi
• Emir Kovacevic
• Brian Andrew Kovacs
• Kovatch Foot & Ankle Specialists PLLC
• Ekaterina Kovatsenko
• Ai Lien Kowalski, CRNA

• Neurological Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Neurological Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.