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DR. ANTHONY PETER KOULIANOS M.D.
NPI 1013997451
Obstetrics & Gynecology in Youngstown, OH

Active since January 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 36D2046561 · Waiver
935 TRAILWOOD DR STE A, YOUNGSTOWN, OH 44512(330) 953-3204(330) 953-3206 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony Peter Koulianos M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY PETER KOULIANOS M.D. (NPI 1013997451) is an individual obstetrics & gynecology provider in Youngstown, Ohio, licensed in Ohio (35072348K) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 5, 2026, and is affiliated with Surgical Hospital At Southwoods.

NPPES Registry Identity

NPI1013997451
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ANTHONY PETER KOULIANOSCredential: M.D.
Location Address935 TRAILWOOD DR STE AYoungstown, OH 44512-5062
Mailing Address935 Trailwood Dr Ste AYoungstown, OH 44512-5062 · (330) 953-3204 · Fax (330) 953-3206
Phone(330) 953-3204
Fax(330) 953-3206
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1993
Enumeration DateJanuary 20, 2006
Last NPPES UpdateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1013997451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35072348K
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
935 TRAILWOOD DR STE A, Youngstown, OH 44512
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Other Identifiers 1

Medicaid2021010OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony Peter Koulianos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012002231
PECOS Enrollment IDI20071003000510
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2046561

Anthony P Koulianos MD Inc · Youngstown, OH
Active · expires Sep 5, 2026
CLIA Number36D2046561
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorAnthony P. Koulianos
Laboratory Phone(330) 953-3204
Laboratory LocationAnthony P Koulianos MD Inc935 Trailwood Dr Ste A, Youngstown, OH 44512
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
64 services64 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
62 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services40 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
46 services46 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLY ANN LABRA FNP-BC
Nurse Practitioner (Family)
935 TRAILWOOD DR STE A
YOUNGSTOWN, OH 44512
Mahoning County (330) 953-3204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Koulianos's NPI number?

The NPI number for Anthony Koulianos is 1013997451. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Anthony Koulianos located?

Anthony Koulianos practices at 935 Trailwood Dr Ste A, Youngstown, OH 44512. The listed phone number is (330) 953-3204.

What is Anthony Koulianos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anthony Koulianos enrolled in Medicare?

Yes. Anthony Koulianos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Anthony Koulianos hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2046561) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anthony Koulianos accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Anthony Koulianos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Koulianos affiliated with any hospitals?

According to CMS data, Anthony Koulianos is affiliated with Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Anthony Koulianos was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.