Individual provider

Ioannis Koutroulis, M.D., PH.D., MBA

Pediatric Emergency Medicine (Pediatrics) Physician Pediatrics Physician Medicare enrolled

Ioannis Koutroulis, M.D., PH.D., MBA is a Pediatric Emergency Medicine (Pediatrics) Physician in Washington, DC, registered under NPI 1417260985. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 111 MICHIGAN AVE NW, Washington, DC 20010. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

111 MICHIGAN AVE NW, Washington, DC 20010 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD044309 DC Pediatric Emergency Medicine (Pediatrics)… primary
MD446360 PA Pediatrics Physician
250073 MA Pediatrics Physician
MD446360 PA Pediatric Emergency Medicine (Pediatrics)…
D0086608 MD Pediatric Emergency Medicine (Pediatrics)…

Licences are recorded in 4 states: DC, PA, MA, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
0648422287
Enrollment ID
I20161007000830

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: District of Columbia, Massachusetts, Maryland and Pennsylvania. The practice address on file is in Washington, DC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

DC District of Columbia practice address
Licence
MD044309
Specialty
Pediatric Emergency Medicine…
Verify with the DC board →
MA Massachusetts
Licence
250073
Specialty
Pediatrics Physician
Verify with the MA board →
MD Maryland
Licence
D0086608
Specialty
Pediatric Emergency Medicine…
Verify with the MD board →
PA Pennsylvania
Licence
MD446360
Specialty
Pediatrics Physician
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Emergency Medicine covers

A pediatrician who has special qualifications to manage emergencies in infants and children. NUCC Health Care Provider Taxonomy, code 2080P0204X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Emergency Medicine

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Pediatric Emergency Medicine MD044309 DC primary
208000000X Pediatrics Physician MD446360 PA
208000000X Pediatrics Physician 250073 MA
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Pediatric Emergency Medicine MD446360 PA
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Pediatric Emergency Medicine D0086608 MD

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417260985 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 26, 2010
Last updatedDec 14, 2021
StatusActive
Sole proprietorNo
CredentialM.D., PH.D., MBA
Practice address 111 MICHIGAN AVE NW
Washington, DC 20010
(202) 476-5000
The last update on file is Dec 14, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417260985 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 2 6 0 9 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 4 6 0 9 7

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417260985?
NPI 1417260985 is the National Provider Identifier assigned to Ioannis Koutroulis, M.D., PH.D., MBA in Washington, DC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Emergency Medicine cover?
A pediatrician who has special qualifications to manage emergencies in infants and children.
How do I contact Ioannis Koutroulis, M.D., PH.D., MBA?
The phone number on file with NPPES is (202) 476-5000, last updated Dec 14, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ioannis Koutroulis, M.D., PH.D., MBA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417260985 a valid number?
Yes. 1417260985 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.