| Dr Michael Demetrios Kouimelis, MD | |
|
9951 Rock Cut Xing, Loves Park, IL 61111-1999 | |
| (815) 639-8500 | |
| (815) 639-8501 |
| Full Name | Dr Michael Demetrios Kouimelis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 9951 Rock Cut Xing, Loves Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033373907 | NPI | - | NPPES |
| 036121741 | Medicaid | IL | |
| 553180 | Other | IL | MEDICARE GROUP # |
| 834370 | Other | IL | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036121741 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Swedish American Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Saint Anthony Medical Center | 5496654006 | 39 |
| Entity Name | Saint Anthony Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942248802 PECOS PAC ID: 5496654006 Enrollment ID: O20040102000555 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Demetrios Kouimelis, MD 9951 Rock Cut Xing, Loves Park, IL 61111-1999 Ph: (815) 639-8500 | Dr Michael Demetrios Kouimelis, MD 9951 Rock Cut Xing, Loves Park, IL 61111-1999 Ph: (815) 639-8500 |
Nandini Chattopadhyay, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111 Phone: 815-971-3397 | |
Nassar Patni, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111 Phone: 815-971-2000 | |
Dr. Samreen Fatima, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111 Phone: 815-971-2000 | |
Sahana Ravindran, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111 Phone: 815-971-3397 | |
Dr. Noah James Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8500 Fax: 815-639-8501 | |
Mohammed Kaleemuddin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111 Phone: 815-639-8450 Fax: 815-639-8451 |