Active NPI
Nikolaos Koutsonikolis, M.D.
- Anesthesiology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME80240
- Practice address
- 200 Hawkins Dr
Dept of Anesthesiology
Iowa City, IA 52242-1009 - Phone
- (563) 580-4107
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME80240 | FL | Primary |
| Anesthesiology Physician | 207L00000X | 31824 | IA |
Addresses
Primary practice location
200 Hawkins Dr
Dept of Anesthesiology
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Dept of Anesthesiology
Iowa City, IA 52242-1009
Phone (563) 580-4107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0152900 | Medicaid | IA | |
| 32401900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 SE 1St Ave
Ocala, FL 34471-6504
Phone (352) 351-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80240 | FL | MD | Anesthesiology Physician |
| 31824 | IA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | Current | Accepting new patients |
Locations
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
Networks
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1780359117
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advent Health Ocala
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1982676961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "563-580-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "563-580-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUTSONIKOLIS",
"first_name": "NIKOLAOS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME80240",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "31824",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0152900",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32401900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.
- 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.