Individual provider Active NPI

Fotios Koumpouras, M. D.

  • Rheumatology Physician
  • North Haven, CT
National Provider Identifier
1316982218
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
042299 Issued in CT
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

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1019099240003MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150928001827 CT Practitioner - Rheumatology 5698789600 Reassigns benefits to 1 organization

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
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
230675NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Aug 1, 2015 Accepting new patients
Yale University Internal Medicine CurrentSince Aug 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.