Active NPI
Fotios Koumpouras, M. D.
- Rheumatology Physician
- North Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 042299
- Practice address
- 6 Devine St
Suite 2B
North Haven, CT 06473-2195 - Phone
- (203) 737-5430
- Fax
- (203) 785-7053
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 042299 | CT | Primary |
| Internal Medicine Physician | 207R00000X | 230675 | NY | |
| Rheumatology Physician | 207RR0500X | MD431644 | PA |
Addresses
Primary practice location
6 Devine St
Suite 2B
North Haven, CT 06473-2195
Mailing address
6 Devine St
Suite 2B
North Haven, CT 06473-2195
Phone (203) 737-5430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019099240003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Rheumatology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1450 Chapel St B
New Haven, CT 06511-4405
Phone 20386754204405
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
330 Orchard St
New Haven, CT 06511-4417
Phone (203) 680-7050
5 S Main St
Suite 511
Branford, CT 06405-3846
Phone (203) 481-3419
6 Devine St
North Haven, CT 06473-2195
Phone (203) 287-6100
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230675 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Internal Medicine | Current | Accepting new patients |
| Yale University | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
55 Lock St
New Haven, CT 06511
Phone (203) 432-0076
6 Devine St
Ste 2B
North Haven, CT 06473
Phone (203) 287-6100
Interoperability endpoints
- fkoumpouras322456@direct.ynhh.org
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Health Service Clinic/Center
- New Haven, CT
- NPI 1093862740
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435622400000",
"number": "1316982218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 DEVINE ST",
"address_2": "SUITE 2B",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732195",
"telephone_number": "203-737-5430",
"fax_number": "203-785-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 DEVINE ST",
"address_2": "SUITE 2B",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732195",
"telephone_number": "203-737-5430",
"fax_number": "203-785-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUMPOURAS",
"first_name": "FOTIOS",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2015-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CT",
"license": "042299",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "230675",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "MD431644",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019099240003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.