Maria Koularmanis, PA-C
Individual provider Active NPI Physician Assistant · Saint Joseph, MI
NPI 1437678992 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1437678992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085.006243 (IL)
- Practice address
- 815 Saint Joseph Dr
Saint Joseph, MI 49085-2529 - Phone
- (269) 983-3455
- Fax
- (269) 983-5920
- NPI assigned
- Sep 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 43
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Edward W Sparrow Hospital Association
Sparrow Carson Hospital
Practice addresses (Care Compare)
1140 E Michigan Ave
Suite 300
Lansing, MI 48912-1806
Phone (517) 364-5655
1215 E Michigan Ave
Lansing, MI 48912-1811
245 S 2ND St
Carson City, MI 48811-9650
401 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-6217
406 E Elm St
Carson City, MI 48811-9693
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health-Sparrow Carson
- University of Michigan Health- Sparrow Clinton
- University of Michigan Health - Sparrow Eaton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180108003132 | IL | Practitioner - Physician Assistant | 8729347232 | Reassigns benefits to 3 organizations |
| I20210127001475 | MI | Practitioner - Physician Assistant | 8729347232 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.006243 | IL | MD | Physician Assistant |
| 5601009905 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Rush University Medical Group | Current |
Accepting new patients | |
| Cook County | Current |
Accepting new patients | |
| Sparrow Carson Hospital | Current |
Accepting new patients | |
| Karas PC | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Sparrow Ionia Hospital | Current |
Accepting new patients | |
| Rush University Medical Center | Current |
Accepting new patients | |
| Cook County | Current |
Accepting new patients | |
| Sparrow Carson Hospital | Current |
Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients | |
| Sparrow Carson Hospital | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
8175 Reliable Pkwy
Chicago, IL 60686
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
60 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (214) 289-8282
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1140 E Michigan Ave
Ste 300
Lansing, MI 48912
Phone (517) 364-5200
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1200 E Michigan Ave
Ste 640
Lansing, MI 48912
Phone (517) 364-5682
901 S Oakland St
Ste 102
Saint Johns, MI 48879
Phone (989) 227-3435
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
815 Saint Joseph Dr
Saint Joseph, MI 49085
Phone (269) 982-4272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601009905 | MI | |
| Physician Assistant | 363A00000X | 085.006243 | IL | Yes |
Addresses
Primary practice location
815 Saint Joseph Dr
Saint Joseph, MI 49085-2529
Mailing address
815 Saint Joseph Dr
Saint Joseph, MI 49085-2529
Phone (269) 983-3455
Other practice location 1
6701 W 95th St
Oak Lawn, IL 60453-2105
Phone (708) 599-5000
Other practice location 2
1969 W Ogden Ave
Chicago, IL 60612-3765
Phone (312) 864-6000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPIC |
Other providers in Saint Joseph, MI
- Stephen Francis Komara
- Josh Korzan
- Abraham Koshy
- Betty Koshy
- Tameira L. Kosters
- Jennifer Kovach
- Gerald F Kozuh
- David M Kraklau
- Shannon Kramer
- Jonathan Richard Krauss
All providers in Saint Joseph, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.