Sophia P Koumaras, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN563670 Issued in PA

Practice address

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001

Phone

(215) 938-3413

Fax

(215) 938-3422

NPI assigned

Dec 8, 2009

Sex

Female

Sole proprietor

Yes

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 PA, DE2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Advantage PCGroup PAC ID 9335048693, 15 clinicians

Upper Bay Anesthesia LLCGroup PAC ID 3779717491, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Upper Bay Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Elkton, MD
  • NPI 1912330283

  DE, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Advantage PC

  • Anesthesiology Physician
  • Southampton, PA
  • NPI 1649360041

  DE

  Medicare reassignment Care Compare group
• Society Hill Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1427003219
  Medicare reassignment NPD
• Amsurg Lewes Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Lewes, DE
  • NPI 1437497930

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Delaware Anesthesia Associates, PA

  • Anesthesiology Physician
  • Lewes, DE
  • NPI 1578618930
  Medicare reassignment NPD
• Einstein Practice Plan Inc

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1992761621
  NPD (past)
• James F Noone MD PC

  • Specialist
  • Meadowbrook, PA
  • NPI 1699721001
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1295064053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE",
            "address_2": "SUITE 313",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468004",
            "telephone_number": "215-938-3413",
            "fax_number": "215-938-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3413",
            "fax_number": "215-938-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMARAS",
        "first_name": "SOPHIA",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN563670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA CERTIFICATION",
            "identifier": "084390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Marlene Kinsey, OTA/L
• David Klebanoff, MD
• Linda Anne Kloss, D.O.
• Meena Knoebel, MPT
• Harold Paul Koller, M.D.
• Michael J Kowalyshyn, MD
• Janet M Krettek, D.O.
• Lee I Kubersky, MD
• Sheila Labadie, CRNP
• Gail S Laucius, M.A

• Certified Registered Nurse Anesthetist in Meadowbrook, PA
• Providers in Meadowbrook, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.