Active NPI
Michael Koutsoyiannis, MD
- Nephrology Physician
- Flushing, NY
National Provider Identifier
1609968536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- NY132290
- Practice address
- 42 70 156TH Street
Flushing, NY 11355 - Phone
- (718) 353-1020
- Fax
- (718) 353-1024
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NY132290 | NY | Primary |
| Pediatrics Physician | 208000000X | NY132290 | NY |
Addresses
Primary practice location
42 70 156TH Street
Flushing, NY 11355
Mailing address
42 70 156TH Street
Flushing, NY 11355
Phone (718) 353-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY132290 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609968536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 70 156TH STREET",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-353-1020",
"fax_number": "718-353-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 70 156TH STREET",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "718-353-1020",
"fax_number": "718-353-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUTSOYIANNIS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "NY132290",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "NY132290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.