DR. GEORGE KOUMARAS (PHD) – Psychologist, NPI 1154377901

DR. GEORGE KOUMARAS (PHD) is a healthcare provider. based in San diego, California. specializing in Psychologist. They hold the professional credentials PHD. The NPI Number for DR. GEORGE KOUMARAS (PHD) is 1154377901

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE KOUMARAS (PHD)
NPI
1154377901
Phone
(619) 528-4600
Address
PO BOX 609001
Enumeration Date
25 May 2006
Last Update Date
6 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607304540
Graduation Year
1978 (48 years ago)
PAC ID
1355344847
Group Practice PAC ID
0143201087
Professional Enrollment ID
I20060823000489
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for DR. GEORGE KOUMARAS (PHD)

  • PO BOX 609001

    SAN DIEGO, CA 921609001

    Phone: (619) 528-4600

    Fax: (619) 528-4625

    Type: Mailing

  • 277 RANCHEROS DR STE 301

    SAN MARCOS, CA 920692993

    Phone: (760) 471-4073

    Fax: (619) 528-4625

    Type: Location

  • 11770, Bernardo Plaza Court, Rancho Bernardo, San Diego, San Diego County, California, 92128, United States

    SUITE 370

    SAN DIEGO, CA 921282426

    Phone: (858) 673-3360

    Fax: (858) 592-0884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060823000489IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143201087View full group profile

Reviews

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Frequently asked questions

How do I look up DR. GEORGE KOUMARAS (PHD) by NPI?
Use NPI 1154377901 when you need to reference DR. GEORGE KOUMARAS (PHD) in forms, claims, or directories.
Does this profile mean DR. GEORGE KOUMARAS (PHD) is currently active?
Yes — DR. GEORGE KOUMARAS (PHD) appears active in the national provider directory.
Can you summarize DR. GEORGE KOUMARAS (PHD)'s specialty in plain language?
Clinically, the directory lists DR. GEORGE KOUMARAS (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. GEORGE KOUMARAS (PHD)?
The snapshot lists San Diego, California for DR. GEORGE KOUMARAS (PHD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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