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

Q: What is Ioannis Pothoulakis's NPI number?

The NPI number for Ioannis Pothoulakis is 1649730375. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Ioannis Pothoulakis's specialty?

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

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: August 16, 2026.

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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 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).

NPPES Registry Identity

NPI1649730375

Entity TypeIndividualMale

Primary Taxonomy390200000X

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

Phone(651) 254-3456

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.

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.

640 JACKSON ST, Saint Paul, MN 55101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Ioannis Pothoulakis Md 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 ID5496135212

PECOS Enrollment IDI20250804001336

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine