Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Christopher Koulouris, PA-C

Individual provider Physician Assistant · NPI 1356169627

Mr. Christopher Koulouris, PA-C is a Physician Assistant in New Hyde Park, New York. Qualified in 2024, 2 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2800 Marcus Ave Ste 102
New Hyde Park, NY 11042-1008
Phone: (516) 622-6040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 575 Underhill Blvd Ste 140, Syosset, NY 11791-3431 — (516) 622-6040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032629 (NY)

Record details

NPI number1356169627
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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