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CHRISTO W KOULISIS MD
NPI 1780673749
Specialist in Niceville, FL

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
1003 COLLEGE BLVD W, SUITE 4, NICEVILLE, FL 32578(850) 279-6789(850) 279-6546 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2022, Mar 16, 2021 (2 updates tracked since 2021).

About Christo W Koulisis Md NPPES

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

CHRISTO W KOULISIS MD (NPI 1780673749) is an individual specialist in Niceville, Florida, licensed in Florida (ME0053933) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Albany Medical College Of Union University (1983).

NPPES Registry Identity

NPI1780673749
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameCHRISTO W KOULISISCredential: MD
Location Address1003 COLLEGE BLVD W, SUITE 4Niceville, FL 32578-1060
Mailing Address1003 College Blvd W Ste 4Niceville, FL 32578-1060 · (850) 279-6789 · Fax (850) 279-6546
Phone(850) 279-6789
Fax(850) 279-6546
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1983
Enumeration DateOctober 20, 2005
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1780673749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0053933
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301503101 (MI)
1003 COLLEGE BLVD W, Niceville, FL 32578
Open in Google Maps ↗

Other Identifiers 3

Other07915FL · Blue Cross Blue Shield
Other162510700FL · Department Of Labor
Medicaid256355000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Premera Blue Cross Blue Shield of Alaska 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 and accepts Medicare assignment

Christo W Koulisis 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 ID7517867807
PECOS Enrollment IDI20040121000913, I20090924000733
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
32 services32 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
13 services13 patients
Placement of stabilizing device for upper end of broken thigh bone 27235
A stabilizing device for a broken thigh bone is placed to provide support and aid healing. It's a surgical procedure where a metal rod or plate is attached to the bone fragments, ensuring they stay in correct alignment. This helps the bone recover properly.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CORY MARCUS SCOTT P.T.
Physical Therapist
1003 COLLEGE BLVD W, SUITE 1
NICEVILLE, FL 32578
Okaloosa County (850) 862-1999
BRENDA K MOORE DO PA
Clinic/Center
1003 COLLEGE BLVD W, SUITE #2
NICEVILLE, FL 32578
Okaloosa County (850) 678-0443
EMERALD COAST NECK & BACK CLINIC, P.A.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1003 COLLEGE BLVD W, SUITE 4
NICEVILLE, FL 32578
Okaloosa County (850) 279-6485
WAYNE P JUSTICE MD
Family Medicine
1003 COLLEGE BLVD W, STE 2
NICEVILLE, FL 32578
Okaloosa County (850) 678-0443

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 Christo Koulisis's NPI number?

The NPI number for Christo Koulisis is 1780673749. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Christo Koulisis located?

Christo Koulisis practices at 1003 College Blvd W Suite 4, Niceville, FL 32578. The listed phone number is (850) 279-6789.

What is Christo Koulisis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Christo Koulisis enrolled in Medicare?

Yes. Christo Koulisis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Christo Koulisis accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Christo Koulisis 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.

Is Christo Koulisis affiliated with any hospitals?

According to CMS data, Christo Koulisis is affiliated with St Joseph Medical Center, St Francis Community Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Christo Koulisis was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.