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IOANNIS KOUTLAS DDS
NPI 1447361332
Dentist - Oral and Maxillofacial Pathology in Minneapolis, MN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
515 DELAWARE ST SE, 16-116 MOOS TOWER, MINNEAPOLIS, MN 55455(612) 626-5844 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ioannis Koutlas Dds NPPES

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

IOANNIS KOUTLAS DDS (NPI 1447361332) is an individual oral and maxillofacial pathology provider in Minneapolis, Minnesota, licensed in Minnesota (D11102) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota School Of Dentistry (1993).

NPPES Registry Identity

NPI1447361332
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameIOANNIS KOUTLASCredential: DDS
Location Address515 DELAWARE ST SE, 16-116 MOOS TOWERMinneapolis, MN 55455-0357
Mailing Address515 Delaware St Se, 16-116 Moos TowerMinneapolis, MN 55455-0357 · (612) 626-5844
Phone(612) 626-5844
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota School Of DentistryGraduated 1993
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447361332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in MN · D11102
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
515 DELAWARE ST SE, Minneapolis, MN 55455
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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

Ioannis Koutlas Dds 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 ID7719084391
PECOS Enrollment IDI20070515000570
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 4

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
246 services228 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
95 services91 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
20 services20 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

DR. JENNIFER LYNN BONAMICI DDS
Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5000
DR. MICHAEL W. LEHNERT DDS
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-7133
DR. BRETT ANDREW VOEGELE D.D.S.
Dentist
515 DELAWARE ST SE, 7TH FLOOR, MOOS TOWER
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-8600
DR. LINDA JIN LIU DDS
Student in an Organized Health Care Education/Training Program
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9900
RAIANA M KLINGELHUTZ
Dentist (General Practice)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2008
MARY ELIZABETH IMDIEKE
Dentist (Prosthodontics)
515 DELAWARE ST SE, CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2495
PAIGE ELIZABETH REINERS DDS
Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2495
HUI LI
Dentist (Prosthodontics)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (734) 450-6874

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 Koutlas's NPI number?

The NPI number for Ioannis Koutlas is 1447361332. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Ioannis Koutlas located?

Ioannis Koutlas practices at 515 Delaware St SE 16-116 Moos Tower, Minneapolis, MN 55455. The listed phone number is (612) 626-5844.

What is Ioannis Koutlas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Ioannis Koutlas enrolled in Medicare?

Yes. Ioannis Koutlas 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 Koutlas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.