KEITH KOUROUPOS PA-C
NPI 1245306174
Physician Assistant - Medical in Staten Island, NY
About Keith Kouroupos Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH KOUROUPOS PA-C (NPI 1245306174) is an individual medical provider in Staten Island, New York, licensed in New York (010650) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keith Kouroupos Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Keith Kouroupos's NPI number?
The NPI number for Keith Kouroupos is 1245306174. It was assigned to this individual provider in the NPPES registry on November 24, 2006.
Where is Keith Kouroupos located?
Keith Kouroupos practices at 501 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-5700.
What is Keith Kouroupos's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Keith Kouroupos enrolled in Medicare?
Yes. Keith Kouroupos is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keith Kouroupos was last updated on September 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Keith Kouroupos, PA-C · NPI 1245306174
Medical physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since November 24, 2006.
## Identity
- **NPI:** 1245306174 (Entity type: Individual)
- **Enumerated:** November 24, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 010650 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 SEAVIEW AVE, Staten Island, NY 10305
- **Phone:** (718) 226-5700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1245306174) · Data from the CMS NPPES public registry.