Anastassios Constantin Koumbourlis, MD, MPH

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

186693 Issued in NY

Practice address

111 Michigan Ave NW
Children'S National Medical Center, Suite 1030
Washington, DC 20010-2916

Phone

(202) 476-2642

Fax

(202) 476-5864

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  Medicare reassignment NPD
• Children'S Hospital

  • Pediatrics Physician
  • Washington, DC
  • NPI 1780800128
  NPD
• Children'S Hospital

  • Community/Retail Pharmacy
  • Silver Spring, MD
  • NPI 1326878349
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • New York, NY
  • NPI 1760444822

  Pediatric Pulmonology

  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1831156942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW CHILDREN'S NATIONAL MEDICAL CENTER",
            "address_2": "DIVISION OF PULMONARY & SLEEP MEDICINE, SUITE 1030",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102970",
            "telephone_number": "202-476-2642",
            "fax_number": "202-476-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "address_2": "CHILDREN'S NATIONAL MEDICAL CENTER, SUITE 1030",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-2642",
            "fax_number": "202-476-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUMBOURLIS",
        "first_name": "ANASTASSIOS",
        "middle_name": "CONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "186693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walime Koufam
• Virginie Kouintchoua
• Catherine Kouko
• Kemea Kouloun
• Isabelle Koumbairia, DH
• Emeline Lore Koumene
• Leonard Famina Koumene
• Mireille Koumtounzi
• Roseline Koundouno
• Jules Watong Kouonang

• Pediatric Pulmonology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Pulmonology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.