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Dmitri Alexandrovich Kapousta , NP

Nurse Practitioner β€’ Ann Arbor, MI

Active NPI 1316459399 Individual Practitioner Male Practitioner
Practice location in NPPES

1500 East Medical Center Dr, 2nd Floor Taubman Ctr Recp F
Ann Arbor, MI 481095332

Call 7349365738 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 East Medical Center Dr
2nd Floor Taubman Ctr Recp F

Ann Arbor, MI 481095332

Telephone 7349365738
Organization at the Same NPPES Address or Phone
Regents Of The University Of Michigan Facility NPI 1770518953

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dmitri Kapousta has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dmitri Kapousta as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ann Arbor and Michigan

704 active clinicians are listed under Nurse Practitioner with a practice address in Ann Arbor, MI (3,594 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ann Arbor

19.2% of these 704 clinicians have the CMS telehealth indicator.

45.3% of these 704 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MI 4704299965

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20171212000055

Enrollment State Jurisdiction

MI

PECOS Control ID

9335407899

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Andrew Barc , PA

Physician Assistant

NPI 1356762645

Physician Assistant

Dr. Sidra Bonner , MD

Student in an Organized Health Care Education/Training Program

NPI 1790277390

Doctor of Medicine (M.D.)

Aubrey Boucher , PA-C

Physician Assistant

NPI 1003230871

Physician Assistant (Certified)

Chelsea Brennan , PA-C

Physician Assistant

NPI 1083084628

Physician Assistant (Certified)

Colleen Buda , PA

Physician Assistant

NPI 1669558490

Physician Assistant

Dr. Franklin Burg , MD

Student in an Organized Health Care Education/Training Program

NPI 1902470867

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location December 19, 2018

Registered at 1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F, ANN ARBOR, MI 481095332 (Tel: 7349365738)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Nurse Practitioner (license number reported to NPPES: MI 4704299965)

πŸ“
Updated Practice Location July 24, 2018

Registered at 1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F, ANN ARBOR, MI 48109 (Tel: 7349365738)

πŸ‘€
Provider Name / Credentials Updated July 24, 2018

Recorded as DMITRI KAPOUSTA, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Nurse Practitioner (license number reported to NPPES: MI 4704299965NSA17263)

βœ…
NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address February 01, 2018

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7349362047)

πŸ“
Updated Practice Location February 01, 2018

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

πŸ‘€
Provider Name / Credentials Updated February 01, 2018

Recorded as DMITRI KAPOUSTA, AGACNP-BC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Nurse Practitioner (license number reported to NPPES: MI 4704299965)

βœ…
NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 30, 2017

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

πŸ“
Business Mailing Address (Initial Record) October 30, 2017

Registered at 4765 PEARL ST, YPSILANTI, MI 481973724 (Tel: 7347259422)

πŸ‘€
Provider Name / Credentials (Initial Record) October 30, 2017

Recorded as DMITRI KAPOUSTA, AGACNP-BC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Nurse Practitioner (license number reported to NPPES: MI 4704299965NSA17263)

🟒
Initial NPI Registration & Enumeration October 30, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316459399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2017
Last Update: December 19, 2018
Sole Proprietor: No

Other Nurse Practitioners in Ann Arbor

All Nurse Practitioners in Ann Arbor

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.