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DR. THEODOROS CHRISTOPHOROS KOUMOUNDOUROS M.D., PH.D.
NPI 1093920886
Family Medicine in Indianapolis, IN

Active since May 14, 2007PECOS Enrolled
1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 988-2300(317) 988-5604 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theodoros Christophoros Koumoundouros M.d., Ph.d. NPPES

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

DR. THEODOROS CHRISTOPHOROS KOUMOUNDOUROS M.D., PH.D. (NPI 1093920886) is an individual family medicine provider in Indianapolis, Indiana, licensed in Ohio (35083161) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093920886
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THEODOROS CHRISTOPHOROS KOUMOUNDOUROSCredential: M.D., PH.D.
Location Address1481 W 10TH STIndianapolis, IN 46202-2803
Mailing Address1481 W 10th StIndianapolis, IN 46202-2803 · (317) 988-2300 · Fax (317) 988-5604
Phone(317) 988-2300
Fax(317) 988-5604
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 20, 2016
✔ NPI 1093920886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35083161
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1481 W 10TH ST, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodoros Christophoros Koumoundouros M.d., Ph.d. 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 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. SATISH KENCHAIAH MD, MPH
Internal Medicine (Cardiovascular Disease)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-4989
JAMES ALEXIS LEYVA AU.D.
Audiologist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-2233
JAMES DAVID MIDDLETON RD
Dietitian, Registered
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (765) 635-8310
STEPHEN MARK JOHNSON LCSW
Social Worker (Clinical)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (812) 478-1803
AMANDA SWINEA
Recreation Therapist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 544-8983
DEBORAH K SIEFERT NURSE PRACTITIONER
Registered Nurse
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0181
SHAWN FAUVER FNP
Nurse Practitioner (Family)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (313) 554-0000
PHYLLIS L ARTHUR
Registered Nurse (Ambulatory Care)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0000

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 Theodoros Koumoundouros's NPI number?

The NPI number for Theodoros Koumoundouros is 1093920886. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Theodoros Koumoundouros located?

Theodoros Koumoundouros practices at 1481 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 988-2300.

What is Theodoros Koumoundouros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodoros Koumoundouros enrolled in Medicare?

Yes. Theodoros Koumoundouros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodoros Koumoundouros was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.