Individual provider Active NPI

Constantinos Theodoros Spyris, M.D.

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1013356740
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
202101879 Issued in NC
Practice address
3010 Trenwest Dr Ste 200
Winston Salem, NC 27103-3208
Phone
(336) 970-5300
Fax
(336) 970-5298
NPI assigned
Jun 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 82913 GA
Diagnostic Radiology Physician 2085R0202X 202101879 NC Primary

Addresses

Primary practice location

3010 Trenwest Dr Ste 200
Winston Salem, NC 27103-3208

Mailing address

PO Box 63111
Charlotte, NC 28263-3111

Other practice location 1

901 N Broad St NE Ste 120
Rome, GA 30161-5202
Phone (706) 291-2661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190808003612 GA Practitioner - Diagnostic Radiology 0547564270 Reassigns benefits to 1 organization
I20210714001660 NC Practitioner - Diagnostic Radiology 0547564270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

3015 Maplewood Ave
Suite 200
Winston Salem, NC 27103-4075
Phone (336) 794-4188

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
  • Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
  • Novant Health Medical Park Hospital Hospital, Winston-Salem, NC, CCN 340148

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202101879NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 11, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Piedmont Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Asheville Open MRI LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Triad Radiology Associates, PLLC Past Accepting new patients

Locations

4136 Clemmons Rd
Ste 100
Clemmons, NC 27012
Phone (336) 893-3270

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

3015 Maplewood Ave
Ste 200
Winston Salem, NC 27103
Phone (336) 794-4188

3010 Trenwest Dr
Ste 200
Winston Salem, NC 27103

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1013356740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63111",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633111",
            "fax_number": "706-784-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TRENWEST DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033208",
            "telephone_number": "336-970-5300",
            "fax_number": "336-970-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Broad St NE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301615202",
            "country_code": "US",
            "telephone_number": "706-291-2661",
            "fax_number": "706-784-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPYRIS",
        "first_name": "CONSTANTINOS",
        "middle_name": "THEODOROS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-15",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "82913",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "202101879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.