INES W SOUKOULIS (MD) – Dermatology Physician, NPI 1164699740

INES W SOUKOULIS (MD) is a healthcare provider. based in Charlottesville, Virginia. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 247534 (MA). The NPI Number for INES W SOUKOULIS (MD) is 1164699740

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
INES W SOUKOULIS (MD)
NPI
1164699740
Phone
(434) 984-2400
Address
600 PETER JEFFERSON PKWY
Enumeration Date
13 May 2008
Last Update Date
14 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
43498424007
Graduation Year
2007 (19 years ago)
PAC ID
3678747839
Group Practice PAC ID
1658324314
Professional Enrollment ID
I20141006000425
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for INES W SOUKOULIS (MD)

  • 600 PETER JEFFERSON PKWY

    SUITE 230

    CHARLOTTESVILLE, VA 229118835

    Phone: (434) 984-2400

    Fax: (434) 984-2400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($91).

Total Amount

$91

General + Research + Ownership

Payments

1

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-06

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
I20141006000425IDermatologyVATBD

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 22911)

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Provider's Procedures

INES W SOUKOULIS (MD) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYVA11101Biopsy of each additional growth of skin and/or tissue3024
DERMATOLOGYVA17003Destruction of 2-14 skin growths481104

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: 1658324314View full group profile
NameSpecialtyState
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA

Reviews

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Frequently asked questions

How is INES W SOUKOULIS (MD) identified in CMS data?
CMS-hosted NPPES data lists INES W SOUKOULIS (MD) with NPI 1164699740.
Can I rely on INES W SOUKOULIS (MD) being an active provider?
As of the registry snapshot, INES W SOUKOULIS (MD) is marked active.
What taxonomy line describes INES W SOUKOULIS (MD)?
For research purposes, treat INES W SOUKOULIS (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for INES W SOUKOULIS (MD)?
INES W SOUKOULIS (MD)'s geographic hint is Charlottesville, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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