Individual Healthcare Provider
Nicholas William Koutrelakos, M.D.
Provider's NPPES record last updated: March 18, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1912972415
- Primary Specialty
- Internal Medicine — Medical Oncology
- Practice Location
- Columbia, Maryland
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:33 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Medical Oncology
Allopathic & Osteopathic Physicians
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Taxonomy code 207RX0202X
Provider-Reported License Information
- Internal Medicine (Maryland)
- D0038509
Practice Locations
Practice Location
10710 Charter Dr
Suite G020
Columbia, Maryland 21044-3128
Phone: (410) 964-2212
Additional Practice Location
12502 Willowbrook Rd
Cumberland, Maryland 21502-6491
Phone: (240) 964-8717
Additional Practice Location
12500 Willowbrook Rd
Cumberland, Maryland 21502-6393
Phone: (240) 964-7000
Record Information
- Enumeration Date
- February 20, 2006
- Provider's NPPES Record Last Updated
- March 18, 2021
- Certification Date
- March 18, 2021
- NPISignal NPPES Dataset
- August 2026
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