PHILIP D. KOUSOUBRIS (M.D.) – Diagnostic Radiology Physician, NPI 1447350442
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for PHILIP D. KOUSOUBRIS (M.D.)
41 Mall Rd
Burlington, MA 018055349
Phone: (781) 744-8000
Type: Location
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States
41 MALL ROAD
BURLINGTON, MA 018050001
Phone: (781) 744-8170
Fax: (781) 744-5232
Type: Mailing
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: 2025-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040805001596 | I | Diagnostic Radiology | MA | TBD |
| I20250123001626 | I | Diagnostic Radiology | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 979 | 906 | $0 |
| 70450 | Ct scan head or brain without contrast | 875 | 812 | $0 |
| 71046 | X-ray of chest, 2 views | 417 | 409 | $0 |
| 72125 | Ct scan of upper spine without contrast | 335 | 326 | $0 |
| 70551 | Mri scan of brain without contrast | 267 | 239 | $0 |
Insurance plans in this area (ZIP 01805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Diagnostic Radiology | CA | |
| - | AZ | |
| - | CA | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | IN | |
| - | AZ | |
| - | OR |
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