Daniele J. Kouroupos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011309 Issued in NY

Practice address

1414 Victory Boulevard
Staten Island, NY 10301

Phone

(718) 447-1261

Fax

(718) 981-1856

NPI assigned

Jan 18, 2011

Last updated

Jan 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amboy Medical Practice PCGroup PAC ID 2860538170, 171 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.48 of 100Reported as apm

Quality

82.91

Promoting interoperability

5.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: daniele.kouroupos.1@19656.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3166/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amboy Medical Practice PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700037975
  Medicare reassignment Care Compare group
• Amboy Medical Practice PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1104692672
  NPD
• Clove Lakes ENT PC

  • Otolaryngology Physician
  • Staten Island, NY
  • NPI 1619039815
  NPD (past)
• Island Hearing Solutions LLC

  • Clinic/Center
  • Staten Island, NY
  • NPI 1265236376
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1548565856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 VICTORY BOULEVARD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 VICTORY BOULEVARD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301",
            "telephone_number": "718-447-1261",
            "fax_number": "718-981-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUROUPOS",
        "first_name": "DANIELE",
        "middle_name": "J.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Kotsonis, M.A. CCC-SLP
• Gitu Kottarathil, RN
• Carolyn Ann Kotula, LMSW
• Carolyn L Kotula
• Juliet La Rocca Kotys, M.D.
• Keith Kouroupos, PA-C
• Chloe Rose Koutras Hiwot, LPN
• Iakovos Koutras, M.D.
• Hannah Rose Kovach, DO
• Laura Kovalenko, MS, CCC- SLP

• Physician Assistant in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.