Evan Kourtjian, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

72239 Issued in WI

Practice address

1240 University Bay Dr
Madison, WI 53705-2253

Phone

(734) 255-7979

NPI assigned

Apr 5, 2018

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

85.34 of 100Reported as group

Quality

80.51

Promoting interoperability

91

Improvement activities

40

Cost

78.13

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Colorado State University

  dba Hartshorn Health Service

  • Clinic/Center
  • Fort Collins, CO
  • NPI 1528156437
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1770089849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 UNIVERSITY BAY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052253",
            "telephone_number": "734-255-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 UNIVERSITY BAY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052253",
            "telephone_number": "734-255-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURTJIAN",
        "first_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "72239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kottke, LCSW
• Nancy Lynn Kottraba, O.D.
• Jack Koueik, MD
• Joyce Koueik, MD
• Georgia Koumoundouros, REGISTERED NURSE
• Stephanie Kourtjian, PA-C
• Isabella Marie Koutsopanagos
• Claire Kowalefski
• Kathy Marie Kowalik, OT
• Paulette Kozar, H.I.S

• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.