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DR. DESPOINA KOUKOUSAKI MD
NPI 1235927724
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 25, 2025PECOS Enrolled
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 625-9975 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Despoina Koukousaki Md NPPES

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

DR. DESPOINA KOUKOUSAKI MD (NPI 1235927724) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235927724
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. DESPOINA KOUKOUSAKICredential: MD
Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341
Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341 · (612) 625-9975
Phone(612) 625-9975
Sole ProprietorNo
Enumeration DateApril 25, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1235927724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE ST SE, Minneapolis, MN 55455
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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. Despoina Koukousaki 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.

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.

KHALID AMIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Hennepin County (913) 827-3505
MELISSA RICHARDSON PA-C
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
DR. RAID SAID MOUSA YOUSEF M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7911
DR. DAVID YOUNG BALSER MD
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2661
ALEXANDER TROESTER
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
NIKITHA VOBUGARI MD
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0400
THOMAS HOUGHLAND MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5589
DR. ANUSHA L GOPALAM MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5454

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 Despoina Koukousaki's NPI number?

The NPI number for Despoina Koukousaki is 1235927724. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Despoina Koukousaki located?

Despoina Koukousaki practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-9975.

What is Despoina Koukousaki's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Despoina Koukousaki enrolled in Medicare?

Yes. Despoina Koukousaki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Despoina Koukousaki was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.