Olga Kouruklis, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

244811 Issued in NY

Practice address

26004 80TH Ave
Glen Oaks, NY 11004-1502

Phone

(718) 347-7090

Fax

(718) 343-1453

NPI assigned

Jun 27, 2007

Last updated

Aug 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Professional Medical Care PCGroup PAC ID 9739359027, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.69 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

72.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Preferred Professional Medical Care PC

  • Internal Medicine Physician
  • Ronkonkoma, NY
  • NPI 1083916670
  Medicare reassignment Care Compare group NPD
• Glen Oaks Internal Medicine PC

  • Internal Medicine Physician
  • Glen Oaks, NY
  • NPI 1255721924
  Authorized official Same address or phone

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1669678454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26004 80TH AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041502",
            "telephone_number": "718-347-7090",
            "fax_number": "718-343-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26004 80TH AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041502",
            "telephone_number": "718-347-7090",
            "fax_number": "718-343-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURUKLIS",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vlad Kononchuk, M.D.
• Urszula S Kopec, M.D.
• Jeremy Koppel, MD
• Rushali Kothari, MD
• Belinda Joan Kotin, NP
• Scott Ira Krakower, D.O.
• Elisse Kramer-Ginsberg, PHD
• Stephanie Ann Kranz, LMHC
• Timothy Robert Kreider, M.D.
• Neil Kremen, MD

• Internal Medicine Physician in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.