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VIVIAN NIA KOUFOGAZOS PA-C
NPI 1083480636
Physician Assistant in Lutz, FL

Active since November 27, 2023PECOS Enrolled
18981 N DALE MABRY HWY, LUTZ, FL 33548(813) 388-5922 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivian Nia Koufogazos Pa-c NPPES

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

VIVIAN NIA KOUFOGAZOS PA-C (NPI 1083480636) is an individual physician assistant in Lutz, Florida, licensed in Florida (PA9118111) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083480636
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVIVIAN NIA KOUFOGAZOSCredential: PA-C
Location Address18981 N DALE MABRY HWYLutz, FL 33548-4981
Mailing Address18981 N Dale Mabry HwyLutz, FL 33548-4981
Phone(813) 388-5922
Sole ProprietorYes
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1083480636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9118111
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
18981 N DALE MABRY HWY, Lutz, FL 33548
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Vivian Nia Koufogazos Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33548 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 4

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

DOCTORS URGENT CARE OF LUTZ LLC
Clinic/Center (Urgent Care)
18981 N DALE MABRY HWY
LUTZ, FL 33548
Hillsborough County (813) 388-5922
ALLISON GARGULAK PA-C
Physician Assistant
18981 N DALE MABRY HWY
LUTZ, FL 33548
Hillsborough County (813) 491-1486
MICHELLE RICCHINO
Physician Assistant
18981 N DALE MABRY HWY
LUTZ, FL 33548
Hillsborough County (813) 388-5922
DR. RUCHA KHARWA PATEL MD
Family Medicine
18981 N DALE MABRY HWY
LUTZ, FL 33548
Hillsborough County (813) 388-5922

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 Vivian Koufogazos's NPI number?

The NPI number for Vivian Koufogazos is 1083480636. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Vivian Koufogazos located?

Vivian Koufogazos practices at 18981 N Dale Mabry Hwy, Lutz, FL 33548. The listed phone number is (813) 388-5922.

What is Vivian Koufogazos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Vivian Koufogazos enrolled in Medicare?

Yes. Vivian Koufogazos is registered in the Medicare PECOS enrollment system.

What insurance does Vivian Koufogazos accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Vivian Koufogazos 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.

When was this NPI record last updated?

The NPPES record for Vivian Koufogazos was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.