DMITRI ALEXANDROVICH KAPOUSTA NP
NPI 1316459399
Nurse Practitioner in Ann Arbor, MI

Active since October 30, 2017PECOS Enrolled
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F, ANN ARBOR, MI 48109(734) 936-5738 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2018, Jul 24, 2018, Oct 30, 2017 (3 updates tracked since 2017).

About Dmitri Alexandrovich Kapousta Np NPPES

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

DMITRI ALEXANDROVICH KAPOUSTA NP (NPI 1316459399) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704299965) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316459399
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDMITRI ALEXANDROVICH KAPOUSTACredential: NP
Location Address1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP FAnn Arbor, MI 48109-5332
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Enumeration DateOctober 30, 2017
Last NPPES UpdateDecember 19, 20183 updates tracked since enumeration
NPI 1316459399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704299965
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48109

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dmitri Alexandrovich Kapousta Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Anesthesiology
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Physician Assistant
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP F
ANN ARBOR, MI 48109
Nurse Practitioner
1500 EAST MEDICAL CENTER DR, 3RD FLOOR C.S. MOTT CHILDREN'S HOSPITAL RECP C
ANN ARBOR, MI 48109
Nurse Practitioner (Critical Care Medicine)
1500 EAST MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48109
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN RECP B
ANN ARBOR, MI 48109
Pediatrics (Pediatric Hematology-Oncology)
1500 EAST MEDICAL CENTER DR, 7TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48109

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 Dmitri Kapousta's NPI number?

The NPI number for Dmitri Kapousta is 1316459399. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Dmitri Kapousta located?

Dmitri Kapousta practices at 1500 East Medical Center Dr 2nd Floor Taubman Ctr Recp F, Ann Arbor, MI 48109. The listed phone number is (734) 936-5738.

What is Dmitri Kapousta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dmitri Kapousta enrolled in Medicare?

Yes. Dmitri Kapousta is registered in the Medicare PECOS enrollment system.

What insurance does Dmitri Kapousta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Dmitri Kapousta 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 Dmitri Kapousta was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.