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DR. ISMINI KOULOURI MD, PHD
NPI 1881217552
Ophthalmology - Retina Specialist in Chicago, IL

Active since May 28, 2020PECOS Enrolled
1950 W POLK ST FL 5, CHICAGO, IL 60612(857) 253-9475 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2025, May 28, 2020 (2 updates tracked since 2020).

About Dr. Ismini Koulouri Md, Phd NPPES

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

DR. ISMINI KOULOURI MD, PHD (NPI 1881217552) is an individual retina specialist in Chicago, Illinois, licensed in Illinois (036.176329) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881217552
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameDR. ISMINI KOULOURICredential: MD, PHD
Location Address1950 W POLK ST FL 5Chicago, IL 60612-3723
Mailing Address1950 W Polk St Fl 5Chicago, IL 60612-3723 · (857) 253-9475
Phone(857) 253-9475
Sole ProprietorNo
Enumeration DateMay 28, 2020
Last NPPES UpdateAugust 10, 20252 updates tracked since enumeration
NPPES CertifiedAugust 10, 2025
✔ NPI 1881217552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in IL · 036.176329
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1950 W POLK ST FL 5, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ismini Koulouri Md, Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

AMATUR REHMAN AMARAH M.D.
Internal Medicine (Nephrology)
1950 W POLK ST FL 5
CHICAGO, IL 60612
Cook County (312) 864-4600

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 Ismini Koulouri's NPI number?

The NPI number for Ismini Koulouri is 1881217552. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Ismini Koulouri located?

Ismini Koulouri practices at 1950 W Polk St Fl 5, Chicago, IL 60612. The listed phone number is (857) 253-9475.

What is Ismini Koulouri's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Ismini Koulouri enrolled in Medicare?

Yes. Ismini Koulouri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ismini Koulouri was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.