Steven Koutroupas, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

24325 Issued in MN

Practice address

2855 Campus Dr Ste 630
Plymouth, MN 55441-2665

Phone

(763) 233-5755

NPI assigned

Apr 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Minneapolis Radiology Associates, LTD.

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1871594341
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1972565901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9647 WYOMING TER S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381606",
            "telephone_number": "612-867-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR STE 630",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412665",
            "telephone_number": "763-233-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTROUPAS",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "24325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178075100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Stier Koonst, M.S. SLP
• Michael Harold Koski, RPH
• Michael Koss
• Sara Koss
• Bobbi Lee Kostinec, M.D.
• Alyssa Victoria Kowalski, PHARMD
• Joan Carol Kracher
• Timothy Charles Krause, RPH
• Sara Krebsbach
• Kent Earl Krez, DDS

• Otolaryngology Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Otolaryngology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.