Theodoros Christophoros Koumoundouros, M.D., PH.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35083161 Issued in OH

Practice address

1481 W 10TH St
Indianapolis, IN 46202-2803

Phone

(317) 988-2300

Fax

(317) 988-5604

NPI assigned

May 14, 2007

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

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.

• Bucyrus Emergency Physicians Inc

  dba Bucyrus Emergency Physicians/Bucyrus Community

  • Emergency Medicine Physician
  • Bucyrus, OH
  • NPI 1073513164
  NPD (past)
• Marion General Hospital Foundation, Inc.

  dba Marion General Hospital Foundation, Inc./Marion General Hospital

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1134114077
  NPD (past)
• Marion Physician Billing LLC

  • Emergency Medicine Physician
  • Marion, OH
  • NPI 1013247568
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1093920886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-988-2300",
            "fax_number": "317-988-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-988-2300",
            "fax_number": "317-988-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMOUNDOUROS",
        "first_name": "THEODOROS",
        "middle_name": "CHRISTOPHOROS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35083161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Allen Kotowski, AGPCNP
• Delores E Kotschwar, M.D.
• Hanna Kottlowski, BCBA
• John Samuel Kou, PHARMD
• Kristin L Kouka, SLP
• Michael J Kourany, MD
• Gabriel C Kousourou, DO
• Loren Weber Kousourou, DO
• Aniffa Kouton
• Sipa Kouyate

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.