IDRISS EL KOUSSAIMI (M.D.) – Internal Medicine Physician, NPI 1164695029

IDRISS EL KOUSSAIMI (M.D.) is a healthcare provider. based in Holliston, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 247126 (MA). The NPI Number for IDRISS EL KOUSSAIMI (M.D.) is 1164695029

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
IDRISS EL KOUSSAIMI (M.D.)
NPI
1164695029
Phone
(508) 429-2377
Address
479 WASHINGTON ST
Enumeration Date
10 April 2008
Last Update Date
25 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084292377
Graduation Year
2002 (24 years ago)
PAC ID
4082885744
Group Practice PAC ID
3476630450
Professional Enrollment ID
I20110929000327
Address ID
MA017461828HO479XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for IDRISS EL KOUSSAIMI (M.D.)

  • 479, Washington Street, East Holliston, Holliston, Middlesex County, Massachusetts, 01746, United States

    HOLLISTON, MA 017461828

    Phone: (508) 429-2377

    Fax: (508) 429-2607

    Type: Mailing

  • 171;173, Main Street, Ashland, Middlesex County, Massachusetts, 01721, United States

    SUITE 203

    ASHLAND, MA 017211187

    Phone: (508) 881-3029

    Fax: (508) 881-1752

    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: 2011-09-29

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
I20110929000327IInternal MedicineMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample629312$0
99213Established patient office or other outpatient visit, 20-29 minutes465303$0
99214Established patient office or other outpatient visit, 30-39 minutes400248$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit228228$0
G0444Annual depression screening, 5 to 15 minutes166166$0
View full utilization report →

Insurance plans in this area (ZIP 01746)

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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: 3476630450View full group profile
NameSpecialtyState
Physician AssistantMA
Internal MedicineMA
Internal MedicineMA
Nurse PractitionerMA
Internal MedicineMA
-MA
Nurse PractitionerMA
Family PracticeMA
-MA
Internal MedicineMA

Reviews

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Frequently asked questions

Can I use this page to confirm IDRISS EL KOUSSAIMI (M.D.)'s NPI?
Yes. IDRISS EL KOUSSAIMI (M.D.) is listed with NPI 1164695029 in the public NPI dataset.
Does CMS list IDRISS EL KOUSSAIMI (M.D.) as active?
Yes — IDRISS EL KOUSSAIMI (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes IDRISS EL KOUSSAIMI (M.D.)?
For research purposes, treat IDRISS EL KOUSSAIMI (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does IDRISS EL KOUSSAIMI (M.D.) serve?
IDRISS EL KOUSSAIMI (M.D.)'s listing highlights Holliston, Massachusetts; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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