ANDY KOULTOURIDES DDS
NPI 1548309743
Dentist - Endodontics in Munster, IN

Q: What is Andy Koultourides's NPI number?

The NPI number for Andy Koultourides is 1548309743. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Andy Koultourides's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: When was this NPI record last updated?

The NPPES record for Andy Koultourides 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.

Active since February 05, 2007PECOS Enrolled

619 RIDGE ROAD, MUNSTER, IN 46321(219) 836-1111(219) 836-1410 Get Directions Write a Review

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

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About Andy Koultourides Dds NPPES

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

ANDY KOULTOURIDES DDS (NPI 1548309743) is an individual endodontics provider in Munster, Indiana, licensed in Indiana (12009245) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548309743

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameANDY KOULTOURIDESCredential: DDS

Location Address619 RIDGE ROADMunster, IN 46321

Mailing Address619 Ridge RoadMunster, IN 46321 · (219) 836-1111 · Fax (219) 836-1410

Phone(219) 836-1111

Fax(219) 836-1410

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1548309743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in IN · 12009245

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

619 RIDGE ROAD, Munster, IN 46321

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Andy Koultourides Dds 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 46321 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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 Andy Koultourides's NPI number?

The NPI number for Andy Koultourides is 1548309743. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Andy Koultourides located?

Andy Koultourides practices at 619 Ridge Road, Munster, IN 46321. The listed phone number is (219) 836-1111.

What is Andy Koultourides's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Andy Koultourides enrolled in Medicare?

Yes. Andy Koultourides is registered in the Medicare PECOS enrollment system.

What insurance does Andy Koultourides accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana and 7 other insurers list Andy Koultourides 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 Andy Koultourides 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.