Organization Active NPI

Vasilios Kountis DO, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1669906061
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
276937 Issued in NY
Legal business name
VASILIOS KOUNTIS DO, PLLC
Practice address
1317 3Rd Ave FL 7
New York, NY 10021-2957
Phone
(212) 235-1265
Fax
(800) 615-2463
NPI assigned
Apr 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Dr. Vasilios Kountis, DONPI 1437410024
Title
Founder
Phone
(212) 235-1265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 276937 NY Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

1317 3Rd Ave FL 7
New York, NY 10021-2957

Mailing address

PO Box 90406
Brooklyn, NY 11209-0406
Phone (212) 235-1265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180716000873 NY Part B Supplier - Clinic/Group Practice 2668729187 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Tax ID family
Vasilios Kountis DO PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1669906061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90406",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112090406",
            "telephone_number": "212-235-1265",
            "fax_number": "800-615-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 3RD AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212957",
            "telephone_number": "212-235-1265",
            "fax_number": "800-615-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASILIOS KOUNTIS DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "KOUNTIS",
        "authorized_official_first_name": "VASILIOS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "212-235-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "276937",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.