KELLY V TSOUGAS M.S., R.D., L.D.N
NPI 1255655569
Dietitian, Registered in Meridian, ID

Q: What is Kelly Tsougas's NPI number?

The NPI number for Kelly Tsougas is 1255655569. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Q: What is Kelly Tsougas's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Tsougas was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since March 16, 2010

5410 S ASHCROFT WAY, MERIDIAN, ID 83642(919) 601-3919(919) 705-1626 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kelly V Tsougas M.s., R.d., L.d.n NPPES

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

KELLY V TSOUGAS M.S., R.D., L.D.N (NPI 1255655569) is an individual dietitian, registered in Meridian, Idaho, licensed in Illinois (164008832) and active in the NPI registry since March 2010. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1255655569

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameKELLY V TSOUGASCredential: M.S., R.D., L.D.N

Location Address5410 S ASHCROFT WAYMeridian, ID 83642-6866

Mailing Address5410 S Ashcroft WayMeridian, ID 83642-6866 · (919) 601-3919 · Fax (919) 705-1626

Phone(919) 601-3919

Fax(919) 705-1626

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 16, 2010

Last NPPES UpdateJuly 20, 2026

NPPES CertifiedJuly 20, 2026

✔ NPI 1255655569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in IL · 164008832✔ Licensed in ID · D-1494✔ Licensed in TX · 93306✔ Licensed in NV · 40194-DI-0✔ Licensed in NC · L003573✔ Licensed in CT · 59.003273✔ Licensed in KS · 2713

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

5410 S ASHCROFT WAY, Meridian, ID 83642

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly V Tsougas M.s., R.d., L.d.n is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103397880

PECOS Enrollment IDI20260603002507

Medicare Billing Reassignment

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

Project Well, Inc.

2,175 mi

Dietitian, Registered

20 SUMMER ST STE 4
Stamford, CT 06901

Reassigned Medicare billing, Connecticut enrollment
10 clinicians in this Medicare group

NPI 1508556416 (855) 659-3663

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

Other Providers at the Same Location NPPES

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

R2MS WELLNESS

Dietitian, Registered

5410 S ASHCROFT WAY
MERIDIAN, ID 83642

Ada County (208) 505-8725

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 Kelly Tsougas's NPI number?

The NPI number for Kelly Tsougas is 1255655569. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Where is Kelly Tsougas located?

Kelly Tsougas practices at 5410 S Ashcroft Way, Meridian, ID 83642. The listed phone number is (919) 601-3919.

What is Kelly Tsougas's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kelly Tsougas enrolled in Medicare?

Yes. Kelly Tsougas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Tsougas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Tsougas reassigns Medicare benefits to Project Well, Inc. (Stamford, CT). 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 Kelly Tsougas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Tsougas accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Tsougas 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 Kelly Tsougas was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.