Individual provider Active NPI

Markos I. Koutsos, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1295818680
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
187114 Issued in NY
Practice address
421 78TH St
Suite D
Brooklyn, NY 11209-3403
Phone
(718) 491-0706
Fax
(718) 491-0732
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 187114 NY Primary

Addresses

Primary practice location

421 78TH St
Suite D
Brooklyn, NY 11209-3403

Mailing address

421 78TH St
Suite D
Brooklyn, NY 11209-3403
Phone (718) 491-0706

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071227000192 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 8123118411 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jose L. Lantin, MD, PCGroup PAC ID 1355417783, 4 clinicians

Practice addresses (Care Compare)

1086 N Broadway
Suite 50
Yonkers, NY 10701-1115
Phone (914) 375-6400

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
70.04
Promoting interoperability
100
Improvement activities
40
Cost
85.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy93
Upper gastrointestinal (GI) endoscopy for acid reflux101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jose L. Lantin, MD, PC CurrentSince Mar 30, 2019 Accepting new patients
Metropolitan Medical Services PC PastSince Mar 1, 2018 Accepting new patients
Gastroenterology of Westchester, LLC Past Accepting new patients

Locations

102 Park Ave
Ste 2
Yonkers, NY 10703
Phone (914) 391-1274

1086 N Broadway
Ste 50
Yonkers, NY 10701
Phone (914) 375-2751

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1295818680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 78TH ST",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093403",
            "telephone_number": "718-491-0706",
            "fax_number": "718-491-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 78TH ST",
            "address_2": "SUITE D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093403",
            "telephone_number": "718-491-0706",
            "fax_number": "718-491-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSOS",
        "first_name": "MARKOS",
        "middle_name": "I.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "187114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.