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DR. IOANNIS KOUTROULIS M.D., PH.D., MBA
NPI 1417260985
Pediatrics - Pediatric Emergency Medicine in Washington, DC

Active since July 26, 2010PECOS EnrolledAccepts Medicare Assignment
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ioannis Koutroulis M.d., Ph.d., Mba NPPES

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

DR. IOANNIS KOUTROULIS M.D., PH.D., MBA (NPI 1417260985) is an individual pediatric emergency medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD044309) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417260985
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. IOANNIS KOUTROULISCredential: M.D., PH.D., MBA
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing Address111 Michigan Ave NwWashington, DC 20010-2916 · (202) 476-5000
Phone(202) 476-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 26, 2010
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1417260985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in DC · MD044309✔ Licensed in PA · MD446360✔ Licensed in MD · D0086608
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD446360 (PA), 250073 (MA)
111 MICHIGAN AVE NW, Washington, DC 20010
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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

Dr. Ioannis Koutroulis M.d., Ph.d., Mba 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 ID648422287
PECOS Enrollment IDI20161007000830
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.

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. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

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 Ioannis Koutroulis's NPI number?

The NPI number for Ioannis Koutroulis is 1417260985. It was assigned to this individual provider in the NPPES registry on July 26, 2010.

Where is Ioannis Koutroulis located?

Ioannis Koutroulis practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Ioannis Koutroulis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Ioannis Koutroulis enrolled in Medicare?

Yes. Ioannis Koutroulis 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.

When was this NPI record last updated?

The NPPES record for Ioannis Koutroulis was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.