Konstantinos Koutelos, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

185957 Issued in NY

Practice address

8401 Fort Hamilton Pkwy
Brooklyn, NY 11209-4805

Phone

(718) 759-0105

Fax

(718) 759-0800

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ik Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1437813433
  NPD
• Insulinic of Florida LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Hollywood, FL
  • NPI 1245954304

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1467545269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094805",
            "telephone_number": "718-759-0105",
            "fax_number": "718-759-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094805",
            "telephone_number": "718-759-0105",
            "fax_number": "718-759-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTELOS",
        "first_name": "KONSTANTINOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "185957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01428293",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christos Kouretsos, P.PH. M.S.
• Maria Kourmolis, P.T.
• Sharon Kourt, CSW
• Soultana Kourtidou, MD, MSC
• Michele Koury, LMHC
• Thomas N Koutelos, INTERNAL MEDICINE
• Andreas Koutras, MD
• Konstantinos Koutros, MD
• Stella Koutsakis-Rallakis, RN
• Kathy Tina Koutsianas

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.