KOUTA ITO M.D., M.S.
NPI 1295905115
Internal Medicine - Geriatric Medicine in Worcester, MA

Q: What is Kouta Ito's NPI number?

The NPI number for Kouta Ito is 1295905115. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Q: What is Kouta Ito's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Kouta Ito was last updated on May 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 06, 2008PECOS EnrolledAccepts Medicare Assignment

291 LINCOLN ST, WORCESTER, MA 01605(508) 334-6251(508) 334-6906 Get Directions Write a Review

NPPES record last updated: May 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kouta Ito M.d., M.s. NPPES

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

KOUTA ITO M.D., M.S. (NPI 1295905115) is an individual geriatric medicine provider in Worcester, Massachusetts, licensed in Massachusetts (266750) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1295905115

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameKOUTA ITOCredential: M.D., M.S.

Location Address291 LINCOLN STWorcester, MA 01605-3643

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 334-6251

Fax(508) 334-6906

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMarch 6, 2008

Last NPPES UpdateMay 1, 2022

NPPES CertifiedMay 1, 2022

✔ NPI 1295905115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in MA · 266750

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

291 LINCOLN ST, Worcester, MA 01605

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Secondary Practice Locations 3

Location 1378 Plantation StWorcester, MA 01605-2324 · Phone (508) 755-7300

Location 240 Julio DrShrewsbury, MA 01545-3010 · Phone (508) 845-6786

Location 3559 Plantation StWorcester, MA 01605-2350 · Phone (508) 852-3011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kouta Ito M.d., M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860566866

PECOS Enrollment IDI20160901002621

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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

477 services302 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

205 services205 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

105 services82 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

86 services86 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

60 services58 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

52 services52 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

32 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services27 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

25 services25 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

25 services25 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

15 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220019

Location100 South StreetSouthbridge, MA 01550 · Worcester County

Emergency services

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220049

Location157 Union StreetMarlborough, MA 01752 · Middlesex County

Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220176

Location123 Summer StreetWorcester, MA 01608 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers20 claims42 services$6.15 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers15 claims15 services$35.89 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

2 suppliers15 claims15 services$14.02 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

2 suppliers15 claims15 services$14.32 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$185.99 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers26 claims26 services$62.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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. MARY R HAWTHORNE M.D.

Internal Medicine

291 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 791-8524

DR. JAMES E FANALE M.D.

Internal Medicine

291 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-6251

SEVIL HEMAYAT M.D

Internal Medicine

291 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 791-8524

MARIAN SABA MD

Internal Medicine

291 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 791-8524

MS. TRACY M. CORMIER NP

Nurse Practitioner

291 LINCOLN ST, EMPLOYEE HEALTH
WORCESTER, MA 01605

Worcester County (508) 793-6400

DR. HAWA OZIEN ABU MD

Internal Medicine (Geriatric Medicine)

291 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 334-6251

DOUGLAS MISAEL PALACIOS HERNANDEZ

Internal Medicine

291 LINCOLN ST
WORCESTER, MA 01605

Worcester County (508) 799-2922

HAHNEMANN UROLOGY ASSOCIATES, INC.

Urology

291 LINCOLN ST, SUITE 201
WORCESTER, MA 01605

Worcester County (508) 755-8663

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 Kouta Ito's NPI number?

The NPI number for Kouta Ito is 1295905115. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Kouta Ito located?

Kouta Ito practices at 291 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-6251.

What is Kouta Ito's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Kouta Ito enrolled in Medicare?

Yes. Kouta Ito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kouta Ito affiliated with any hospitals?

According to CMS data, Kouta Ito is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Kouta Ito was last updated on May 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.