ELITZA KOUTLEVA MD, MBA
NPI 1609570274
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Q: What is Elitza Koutleva's NPI number?

The NPI number for Elitza Koutleva is 1609570274. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Elitza Koutleva's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Elitza Koutleva was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 28, 2023PECOS Enrolled

101 MANNING DRIVE, CHAPEL HILL, NC 27599(984) 974-8415(984) 974-8607 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2024, Mar 28, 2023 (2 updates tracked since 2023).

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About Elitza Koutleva Md, Mba NPPES

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

ELITZA KOUTLEVA MD, MBA (NPI 1609570274) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1609570274

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameELITZA KOUTLEVACredential: MD, MBA

Location Address101 MANNING DRIVEChapel Hill, NC 27599-7512

Mailing Address101 Manning DriveChapel Hill, NC 27599-7512 · (984) 974-8415 · Fax (984) 974-8607

Phone(984) 974-8415

Fax(984) 974-8607

Sole ProprietorNo

Enumeration DateMarch 28, 2023

Last NPPES UpdateApril 22, 20242 updates tracked since enumeration

NPPES CertifiedApril 22, 2024

✔ NPI 1609570274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 MANNING DRIVE, Chapel Hill, NC 27599

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Secondary Practice Location 1

Location 1925 Seneca StSeattle, WA 98101-2742 · Phone (206) 583-6079

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elitza Koutleva Md, Mba 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.

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. DENISE LIZNETT TORRES MD, MPH

Internal Medicine (Addiction Medicine)

101 MANNING DRIVE
CHAPEL HILL, NC 27599

Orange County (917) 900-6690

JOHNATHAN HARRY STATHOPOULOS MD

Student in an Organized Health Care Education/Training Program

101 MANNING DRIVE, CB# 7160
CHAPEL HILL, NC 27599

Orange County (984) 974-3982

KEVIN ALEXANDER TAM MD

Student in an Organized Health Care Education/Training Program

101 MANNING DRIVE, OLD CLINIC BUILDING 3020 CAMPUS BOX# 7570
CHAPEL HILL, NC 27599

Orange County (919) 966-4150

ELIZABETH KOTZEN MD

Internal Medicine (Nephrology)

101 MANNING DRIVE
CHAPEL HILL, NC 27599

Orange County (919) 966-2561

DR. COLLETTE MARIA TILLY MD

Student in an Organized Health Care Education/Training Program

101 MANNING DRIVE
CHAPEL HILL, NC 27599

Orange County (919) 962-3624

JOHN TASSO VARVARIKOS

Radiology (Diagnostic Radiology)

101 MANNING DRIVE
CHAPEL HILL, NC 27599

Orange County (919) 966-6646

DR. KENAN MILES PENASKOVIC MD

Psychiatry & Neurology (Psychiatry)

101 MANNING DRIVE
CHAPEL HILL, NC 27599

Orange County (919) 966-4166

ESTHER MIAH MD

Psychiatry & Neurology (Psychiatry)

101 MANNING DRIVE
CHAPEL HILL, NC 27599

Orange County (984) 974-2194

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 Elitza Koutleva's NPI number?

The NPI number for Elitza Koutleva is 1609570274. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Elitza Koutleva located?

Elitza Koutleva practices at 101 Manning Drive, Chapel Hill, NC 27599. The listed phone number is (984) 974-8415.

What is Elitza Koutleva's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elitza Koutleva enrolled in Medicare?

Yes. Elitza Koutleva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elitza Koutleva was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.