DR. FOTIOS KOUMPOURAS M. D.
NPI 1316982218
Internal Medicine - Rheumatology in North Haven, CT
About Dr. Fotios Koumpouras M. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FOTIOS KOUMPOURAS M. D. (NPI 1316982218) is an individual rheumatology provider in North Haven, Connecticut, licensed in Connecticut (042299) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Fotios Koumpouras M. D. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Fotios Koumpouras reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 clinicians in this Medicare group
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NORTH HAVEN, CT 06473
NORTH HAVEN, CT 06473
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 Fotios Koumpouras's NPI number?
The NPI number for Fotios Koumpouras is 1316982218. It was assigned to this individual provider in the NPPES registry on June 17, 2006.
Where is Fotios Koumpouras located?
Fotios Koumpouras practices at 6 Devine St Suite 2B, North Haven, CT 06473. The listed phone number is (203) 737-5430.
What is Fotios Koumpouras's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Fotios Koumpouras enrolled in Medicare?
Yes. Fotios Koumpouras 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.
Which organizations bill Medicare for Fotios Koumpouras's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fotios Koumpouras reassigns Medicare benefits to 2 organizations: Yale University (Hamden, CT) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Fotios Koumpouras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fotios Koumpouras accept?
Health plans from Anthem Blue Cross and Blue Shield list Fotios Koumpouras 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 Fotios Koumpouras was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Fotios Koumpouras, M. D. · NPI 1316982218
Rheumatology physician in North Haven, Connecticut. Individual provider, active in the CMS NPPES registry since June 17, 2006.
## Identity
- **NPI:** 1316982218 (Entity type: Individual)
- **Enumerated:** June 17, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 042299 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 DEVINE ST, SUITE 2B, North Haven, CT 06473-2195
- **Phone:** (203) 737-5430 · **Fax:** (203) 785-7053
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Yale University (NPI 1134391824, Hamden, CT); North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** June 30, 2015
- **Other identifiers:** Medicare PIN 111184PL2 (PA); Medicare UPIN I48820 (CT); Medicaid 1019099240003 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316982218) · Data from the CMS NPPES public registry.