ANNE MARIE KOURI M.D.
NPI 1639460439
Pediatrics - Pediatric Nephrology in Minneapolis, MN

Active since April 27, 2011PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
2450 RIVERSIDE AVE BLDG 6TH, MINNEAPOLIS, MN 55454(612) 365-6777 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 2, 2019, Jul 31, 2017 (2 updates tracked since 2017).

About Anne Marie Kouri M.d. NPPES

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

ANNE MARIE KOURI M.D. (NPI 1639460439) is an individual pediatric nephrology provider in Minneapolis, Minnesota, licensed in Minnesota (66265) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2011).

NPPES Registry Identity

NPI1639460439
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameANNE MARIE KOURICredential: M.D.
Location Address2450 RIVERSIDE AVE BLDG 6THMinneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave Bldg 6thMinneapolis, MN 55454-1450
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2011
Enumeration DateApril 27, 2011
Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration
NPI 1639460439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses Licensed in MN · 66265 Licensed in IN · 01073683
Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

2450 RIVERSIDE AVE BLDG 6TH, Minneapolis, MN 55454

Accepted Insurance

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

Anne Marie Kouri 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.

PECOS PAC ID6709026719
PECOS Enrollment IDI20190905001790
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.

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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,050 services$0.35 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims2,700 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$18.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims13 services$12.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639460439, enumerated as an "individual" on April 27, 2011.

The provider is located at 2450 RIVERSIDE AVE BLDG 6TH MINNEAPOLIS, MN 55454 and the phone number is (612) 365-6777.

Pediatrics with taxonomy code 2080P0210X and a focus in Pediatric Nephrology.

The provider might be accepting Accepts: HealthPartners, Medica and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.