Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ioannis Pothoulakis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649730375

Ioannis Pothoulakis, MD is a Gastroenterology in Saint Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649730375
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2019
Last updated in NPPESMay 3, 2025
Certification dateMay 3, 2025
Mailing address110 Irving St. Nw, Washington, DC 20010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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