IOANNIS POTHOULAKIS MD
NPI 1649730375
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ioannis Pothoulakis Md NPPES

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

IOANNIS POTHOULAKIS MD (NPI 1649730375) is an individual student in an organized health care education/training program provider in Saint Paul, Minnesota and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Other (2017).Information from the official NPPES registry record, last updated May 3, 2025.

NPPES Registry Identity

NPI1649730375
Entity TypeIndividualMale
Provider Legal NameIOANNIS POTHOULAKISCredential: MD
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address110 Irving St. NwWashington, DC 20010 · (202) 877-8278 · Fax (202) 877-6292
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 20, 2019
Last NPPES UpdateMay 3, 2025
NPPES CertifiedMay 3, 2025
NPI 1649730375 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

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.

640 JACKSON ST, Saint Paul, MN 55101

Medicare Participation & PECOS Enrollment Status

Ioannis Pothoulakis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ioannis Pothoulakis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496135212

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250804001336

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ioannis Pothoulakis is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
REGIONS HOSPITAL640 JACKSON STREET
SAINT PAUL, MN 55101
(651) 254-1616Acute Care Hospitals

Reviews for IOANNIS POTHOULAKIS MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Otolaryngology
640 JACKSON ST, MC 11503J
ST PAUL, MN 55101
Family Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
ST PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Audiologist
640 JACKSON ST, MAIL STOP 11101N
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Psychologist (Clinical)
640 JACKSON ST, MAIL STOP 11303A
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Physician Assistant
640 JACKSON ST, MC 11102H
ST PAUL, MN 55101
Psychiatry & Neurology (Psychiatry)
640 JACKSON ST, MAIL STOP 11302C HEALTHPARTNERS REGIONS BEHAVIORAL HEAL
ST. PAUL, MN 55101
Surgery (Plastic and Reconstructive Surgery)
640 JACKSON ST, MC 11503B
SAINT PAUL, MN 55101
Psychiatry & Neurology (Psychiatry)
640 JACKSON ST, MAIL STOP 11303A
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Emergency Medicine
640 JACKSON ST, MC11102F
SAINT PAUL, MN 55101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649730375, enumerated as an "individual" on March 20, 2019.

The provider is located at 640 JACKSON ST SAINT PAUL, MN 55101 and the phone number is (651) 254-3456.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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

Ioannis Pothoulakis is affiliated with: REGIONS HOSPITAL.