Nathaniel Theodore Koutlas, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Alcoa, Tennessee. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is
1146 Franck St, 101, Alcoa, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 694-7725.
Nathaniel Theodore Koutlas is licensed to practice in Tennessee (license number 74215) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1609439694.
Physician's Profile
| Full Name | Nathaniel Theodore Koutlas |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 6 Years |
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| Location | 1146 Franck St, Alcoa, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nathaniel Theodore Koutlas graduated from medical school in 2019
NPI Data:
- NPI Number: 1609439694
- Provider Enumeration Date: 04/16/2019
- Last Update Date: 08/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466795463
- Enrollment ID: I20250702000030
Medical Identifiers
Medical identifiers for Nathaniel Theodore Koutlas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609439694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 74215 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathaniel Theodore Koutlas is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nathaniel Theodore Koutlas, MD
Po Box 306556,
Nashville, TN 37230-6556
Ph: (615) 329-2294 | Nathaniel Theodore Koutlas, MD
1146 Franck St, 101,
Alcoa, TN 37701
Ph: (865) 694-7725 |
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