Individual provider Active NPI

Konstantinos Kourelis, MD

  • Otolaryngology Physician
  • Kansas City, KS
National Provider Identifier
1710116215
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
7162 Issued in KS
Practice address
Dept of Otolaryngology Head and Neck Surgery
3901 Rainbow Boulevard
Kansas City, KS 66160-0001
Phone
(913) 588-6719
Fax
(913) 588-4676
NPI assigned
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 7162 KS Primary

Addresses

Primary practice location

Dept of Otolaryngology Head and Neck Surgery
3901 Rainbow Boulevard
Kansas City, KS 66160-0001

Mailing address

Dept of Otolaryngology Head and Neck Surgery
3901 Rainbow Boulevard
Kansas City, KS 66160-0001
Phone (913) 588-6719

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

LicenseStateTypeSpecialty
7162KSMDOtolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1710116215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF OTOLARYNGOLOGY HEAD AND NECK SURGERY",
            "address_2": "3901 RAINBOW BOULEVARD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6719",
            "fax_number": "913-588-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF OTOLARYNGOLOGY HEAD AND NECK SURGERY",
            "address_2": "3901 RAINBOW BOULEVARD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6719",
            "fax_number": "913-588-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURELIS",
        "first_name": "KONSTANTINOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "7162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.