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PAUL R KOUYOUMDJI MD
NPI 1124027172
Pediatrics in Salem, NJ

Active since July 20, 2005PECOS Enrolled
4 BY PASS RD, SUITE 101, SALEM, NJ 08079(856) 935-3582(856) 935-4382 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paul R Kouyoumdji Md NPPES

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

PAUL R KOUYOUMDJI MD (NPI 1124027172) is an individual pediatrics provider in Salem, New Jersey, licensed in New Jersey (MA64453) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124027172
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL R KOUYOUMDJICredential: MD
Location Address4 BY PASS RD, SUITE 101Salem, NJ 08079-2053
Mailing AddressPo Box 504290Saint Louis, MO 63150-0001 · (856) 935-3582 · Fax (856) 935-4382
Phone(856) 935-3582
Fax(856) 935-4382
Sole ProprietorNo
Enumeration DateJuly 20, 2005
Last NPPES UpdateNovember 19, 2007
✔ NPI 1124027172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · MA64453
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4 BY PASS RD, Salem, NJ 08079
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Other Identifiers 2

Medicare PIN099433
Medicare UPING44233

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul R Kouyoumdji Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Kouyoumdji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inspira Health Network Medical Group, P.C.
21 mi
Multi-Specialty
1120 DELSEA DR N
Glassboro, NJ 08028
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Inspira Health Network Medical Group PC
  • 258 clinicians in this Medicare group
NPI 1922177856 (856) 507-2783

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08079 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%24 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%36 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
73%1,136 patients4/55-star benchmark: 88%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 5% · 1,387 patients
100%1,387 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

DR. ZOUBIR AKROUT M.D.
Urology
4 BY PASS RD, SUITE 204
SALEM, NJ 08079
Salem County (856) 935-1514
DR. BARRY MITCHELL BERMAN MD
Pediatrics
4 BY PASS RD, SUITE 101
SALEM, NJ 08079
Salem County (856) 935-3582
SALEM MEDICAL PROFESSIONALS, PC
Pediatrics
4 BY PASS RD, SUITE 101
SALEM, NJ 08079
Salem County (856) 935-3285
R DIAZ MD LLC
Internal Medicine (Cardiovascular Disease)
4 BY PASS RD, SUITE 203
SALEM, NJ 08079
Salem County (856) 339-4444
AMANTE N. DECASTRO, M.D., P.A.
Obstetrics & Gynecology (Obstetrics)
4 BY PASS RD, SUITE 202
SALEM, NJ 08079
Salem County (856) 935-7200

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 Paul Kouyoumdji's NPI number?

The NPI number for Paul Kouyoumdji is 1124027172. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Paul Kouyoumdji located?

Paul Kouyoumdji practices at 4 By Pass Rd Suite 101, Salem, NJ 08079. The listed phone number is (856) 935-3582.

What is Paul Kouyoumdji's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Kouyoumdji enrolled in Medicare?

Yes. Paul Kouyoumdji is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Kouyoumdji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kouyoumdji reassigns Medicare benefits to Inspira Health Network Medical Group, P.C. (Glassboro, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Kouyoumdji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Kouyoumdji accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Paul Kouyoumdji 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 Paul Kouyoumdji was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.