NPIMap

Individual provider Active NPI

Peter J. Coutlakis, M.D.

  • Rheumatology Physician
  • Richmond, VA
National Provider Identifier
1528064482
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101053577 Issued in VA
Practice address
1401 Johnston Willis Dr
Ste 1200
Richmond, VA 23235-4730
Phone
(804) 323-1401
Fax
(804) 323-1850
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101053577 VA Primary

Addresses

Primary practice location

1401 Johnston Willis Dr
Ste 1200
Richmond, VA 23235-4730

Mailing address

1401 Johnston Willis Dr
Ste 1200
Richmond, VA 23235-4730
Phone (804) 323-1401

Other identifiers 1

IdentifierTypeStateIssuer
5838533MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000137 VA Practitioner - Rheumatology 8426149766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Specialists, LTD.Group PAC ID 8729179064, 5 clinicians

Practice addresses (Care Compare)

1051 Johnston Willis Dr
Suite 120
North Chesterfield, VA 23235-4817
Phone 8043231401309

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

Merit-based Incentive Payment System (MIPS)

Final score
62.5 of 100Reported as individual
Quality
25
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Specialists, LTD. Rheumatology CurrentSince Jul 1, 2000 Accepting new patients

Locations

8201 Atlee Rd
Ste B
Mechanicsvlle, VA 23116
Phone (804) 730-5222

1051 Johnston Willis Dr
#120N
North Chesterfield, VA 23235

1401 Johnston Willis Dr
#12
North Chesterfield, VA 23235

1051 Johnston Willis Dr
Ste 120
North Chesterfield, VA 23235
Phone (804) 323-1401

1401 Johnston Willis Dr
Ste 1200
North Chesterfield, VA 23235
Phone (804) 272-2702

1401 Johnston Willis Dr
#1200
North Chesterfield, VA 23235

Interoperability endpoints

  • Direct secure messaging: pcoutlakis@338.securemail.mdnavigatorclinical.com

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1528064482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "address_2": "STE 1200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-323-1401",
            "fax_number": "804-323-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "address_2": "STE 1200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-323-1401",
            "fax_number": "804-323-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTLAKIS",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101053577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5838533",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.