Individual provider Active NPI

Gregory A Kouyoumdjian, M.D.

  • Ophthalmology Physician
  • Littleton, CO
National Provider Identifier
1548219934
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
38767 Issued in CO
Practice address
8381 Southpark LN
Littleton, CO 80120-4508
Phone
(303) 991-9662
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0064496 CO
Ophthalmology Physician 207W00000X 38767 CO Primary

Addresses

Primary practice location

8381 Southpark LN
Littleton, CO 80120-4508

Mailing address

8381 Southpark LN
Littleton, CO 80120-4508
Phone (303) 991-9662

Other identifiers 1

IdentifierTypeStateIssuer
465288MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20101007000565 CO Practitioner - Ophthalmology 7012073968 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma and Emergency Subspecialty Surgeons PLLCGroup PAC ID 1951559293, 27 clinicians
Glaucoma Consultants of Colorado PCGroup PAC ID 9335053081, 8 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

11960 Lioness Way
Suite 190
Parker, CO 80134-5640

11961 Lioness Way
Parker, CO 80134-5302
Phone (303) 794-1111

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

8381 Southpark LN
Littleton, CO 80120-4508
Phone (303) 991-9662

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as individual
Quality
90.97
Improvement activities
40
Cost
80.16

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
93.43
Improvement activities
40
Cost
44.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38767COMDOphthalmology Physician
0064496COMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Consultants of Colorado, PC Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients
Trauma and Emergency Subspecialty Surgeons PLLC CurrentSince Feb 23, 2013 Accepting new patients
The Denver Ophthalmology Center, Inc. Ophthalmology Current Accepting new patients

Locations

7375 W 52nd Ave
Ste 300
Arvada, CO 80002

5150 E Yale Cir
Ste 200
Denver, CO 80222
Phone 3037941111 ext. 7849

850 Englewood Pkwy
Ste 100A
Englewood, CO 80110
Phone (303) 777-6633

8381 Southpark Ln
Littleton, CO 80120
Phone (303) 730-0404

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

11961 Lioness Way
Parker, CO 80134
Phone (720) 880-7851

11963 Lioness Way
Parker, CO 80134

Organizations & group practices 3

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1548219934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 SOUTHPARK LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204508",
            "telephone_number": "303-991-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 SOUTHPARK LN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204508",
            "telephone_number": "303-991-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUYOUMDJIAN",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CO",
            "license": "0064496",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "38767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465288",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.