Active NPI
Koumanis Diet Health Clinic of Michigan, PLLC
- Plastic Surgery Physician
- Warren, MI
National Provider Identifier
1811892185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- KOUMANIS DIET HEALTH CLINIC OF MICHIGAN, PLLC
- Practice address
- 2243 E 12 Mile Rd
Warren, MI 48092-5644 - Phone
- (518) 203-2593
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dimitri J Koumanis
- Title
- Owner
- Phone
- (518) 203-2593
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | NU | Primary |
Addresses
Primary practice location
2243 E 12 Mile Rd
Warren, MI 48092-5644
Mailing address
2243 E 12 Mile Rd
Warren, MI 48092-5644
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Glens Falls, NY
- NPI 1003992926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1811892185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2243 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480925644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2243 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480925644",
"telephone_number": "518-203-2593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOUMANIS DIET HEALTH CLINIC OF MICHIGAN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "KOUMANIS",
"authorized_official_first_name": "DIMITRI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-203-2593"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.