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

Pelagia E Kouloumberis, MD

Individual provider Neurological Surgery Physician · NPI 1487804969

Pelagia E Kouloumberis, MD is a Neurosurgery in Fargo, North Dakota. Graduated from Wayne State University School of Medicine in 2003, 23 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona and North Dakota.

Years since qualifying
23
Trained at
Wayne State University School of Medicine
Licensed in
AZ, ND
In the registry since
2008
Specialties on file
2
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

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 17057 (ND)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 52549 (AZ)

Record details

NPI number1487804969
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2008
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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