Andrew Coundouriotis, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

ME0061858 Issued in FL

Practice address

5600 22ND St N
St Petersburg, FL 33714-2126

Phone

(727) 525-9900

Fax

(727) 525-9200

NPI assigned

Nov 7, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Interoperability endpoints

• Direct secure messaging: acoundouriotis214093@orlandohealth.medalliesdirect.net

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.

• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  NPD
• Trina E Espinola MD PA

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • St Petersburg, FL
  • NPI 1598851826
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1952382020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 22ND ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142126",
            "telephone_number": "727-525-9900",
            "fax_number": "727-525-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 22ND ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142126",
            "telephone_number": "727-525-9900",
            "fax_number": "727-525-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNDOURIOTIS",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME0061858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370923000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Earl Cotman, MD
• Lindsay Jane Cotto
• Brittani Couch
• Harold Matthew Couch, M.D.
• Danielle N Coughlin, CNM
• Counseling on Duty LLC
• Justin Matthew Cournoyer, CRNA
• Courtney Reeves LCSW, PLLC
• Lisa Covell, PHARM.D.
• Roger Covey, PT

• Facial Plastic Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.