Philip D Kousoubris, MD - Medicare Diagnostic Radiology in Eden Prairie, MN

  1. Home
  2. Radiology
  3. MN
  4. Eden Prairie
Philip D Kousoubris, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1993 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southwest Diagnostic Imaging Llc, Physicians Of Cape Cod Hospital, Southwest Diagnostic Imaging Llc and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Philip D Kousoubris is licensed to practice in Massachusetts (license number 160515) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447350442.

Contact Information

Philip D Kousoubris, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349
(952) 595-1301
(612) 294-4903

Map and Direction




Physician's Profile

Full NamePhilip D Kousoubris
GenderMale
SpecialityDiagnostic Radiology
Experience32 Years
Location11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Philip D Kousoubris attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1993
  NPI Data:
  • NPI Number: 1447350442
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 03/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759352230
  • Enrollment ID: I20040805001596

Medical Identifiers

Medical identifiers for Philip D Kousoubris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447350442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 160515 (Massachusetts)Primary
2085N0700XRadiology - Neuroradiology 160515 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Cod HealthcareHyannis, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Diagnostic Imaging Llc7416946199100
Physicians Of Cape Cod Hospital9638326671270
Southwest Diagnostic Imaging Llc7416946199100

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Philip D Kousoubris allows following entities to bill medicare on his behalf.
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269
Entity NamePhysicians Of Cape Cod Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679832364
PECOS PAC ID: 9638326671
Enrollment ID: O20120828000193
Entity NameFred Smeltzer Md & Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639122286
PECOS PAC ID: 8921078304
Enrollment ID: O20130218000404
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20211011000162
Entity NameSouthwest Diagnostic Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20211011001423
Entity NameNorth Georgia Radiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922193044
PECOS PAC ID: 9032103296
Enrollment ID: O20220804000062
Entity NameRadiologists Of Cape Cod Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073240586
PECOS PAC ID: 2961872452
Enrollment ID: O20221227001327

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. Philip D Kousoubris 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 AddressPractice Location Address
Philip D Kousoubris, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301		Philip D Kousoubris, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301

Reviews and Comments


Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Jacob Gebrael, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Stephen George Fox, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Dr. Trudy J Moore, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Dr. Priti Bachubhai Ram, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Nathan J Groebner, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344
Phone: 612-573-2200    Fax: 612-573-2274
Dr. Christopher James Macdonald, MD, PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.