Individual provider Active NPI

Ephigenia Giannoukos, M.D.

  • Pediatric Adolescent Medicine Physician
  • Newark, DE
National Provider Identifier
1750346045
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
C1/0003971 Issued in DE
Practice address
66 Omega Dr BLDG E
Newark, DE 19713-2061
Phone
(302) 892-3300
Fax
(302) 892-9824
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C1-0003971 DE
Pediatric Adolescent Medicine Physician 2080A0000X C1/0003971 DE Primary

Addresses

Primary practice location

66 Omega Dr BLDG E
Newark, DE 19713-2061

Mailing address

66 Omega Dr BLDG E
Newark, DE 19713-2061
Phone (302) 892-3300

Other names 1

  • Dr. Ephigenia Koumatos Giannoukos Professional name

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
C1-0003971DEMDPediatrics Physician
C1/0003971DEMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kiddocs, P.a. Pediatrics PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1750346045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 OMEGA DR BLDG E",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132061",
            "telephone_number": "302-892-3300",
            "fax_number": "302-892-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 OMEGA DR BLDG E",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132061",
            "telephone_number": "302-892-3300",
            "fax_number": "302-892-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOUKOS",
        "first_name": "EPHIGENIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0003971",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DE",
            "license": "C1/0003971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EPHIGENIA",
            "last_name": "GIANNOUKOS",
            "middle_name": "KOUMATOS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.