Individual provider Active NPI

Christos Coutifaris, MD

  • Reproductive Endocrinology Physician
  • Philadelphia, PA
National Provider Identifier
1669402392
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD030791E Issued in PA
Practice address
3701 Market St
7TH & 8TH Floor
Philadelphia, PA 19104-5502
Phone
(215) 662-6100
Fax
(215) 349-5512
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD030791E PA Primary
Obstetrics & Gynecology Physician 207V00000X MD030791E PA

Addresses

Primary practice location

3701 Market St
7TH & 8TH Floor
Philadelphia, PA 19104-5502

Mailing address

3701 Market Street
7TH and 8TH Floor
Philadelphia, PA 19104-5502
Phone (215) 662-6100

Other identifiers 1

IdentifierTypeStateIssuer
001082987MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100511000481 PA Practitioner - Obstetrics/Gynecology 7012045198 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD030791EPAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jul 20, 2020 Accepting new patients
Lancaster General Hospital CurrentSince Jul 20, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group Reproductive Endocrinology CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 110
Lancaster, PA 17601
Phone (617) 840-4786

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

801 Spruce St
Fl 7
Philadelphia, PA 19107
Phone (215) 829-2345

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

3701 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-6100

3701 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-6035

3701 Market St
Fl 7
Philadelphia, PA 19104
Phone (215) 349-5200

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

145 King of Prussia Rd
Ste 303
Wayne, PA 19087

145 King of Prussia Rd
Ste 302
Wayne, PA 19087
Phone (610) 902-2500

Interoperability endpoints

  • Direct secure messaging: ccoutifaris220458@direct-lghealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1669402392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MARKET STREET",
            "address_2": "7TH AND 8TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "215-662-6100",
            "fax_number": "215-349-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "7TH & 8TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "215-662-6100",
            "fax_number": "215-349-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTIFARIS",
        "first_name": "CHRISTOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD030791E",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD030791E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001082987",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.