Active NPI
Dimitrios P Papadopoulos, MD
- Radiation Oncology Physician
- Kingston, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 188109
- Practice address
- 111 Marys Ave
Kingston, NY 12401-5852 - Phone
- (845) 339-7700
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 188109 | NY | Primary |
Addresses
Primary practice location
111 Marys Ave
Kingston, NY 12401-5852
Mailing address
45 Reade Place
Poughkeepsie, NY 12601-3947
Phone (845) 454-2372
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01348118 | Medicaid | NY | |
| P672354 | Other | NY | OXFORD LIBERTY |
| 000470812001 | Other | NY | BCBS NE NY |
| 10642 | Other | NY | GHI HMO |
| 30K061 | Other | NY | EMPIRE BCBS |
| 7299684 | Other | NY | GHI PPO |
| 000470812002 | Other | NY | BCBS NE NY |
| 10039815 | Other | NY | CDPHP |
| 2330132 | Other | NY | AETNA USHC HMO |
| P673936 | Other | NY | OXFORD FREEDOM |
| 4112605 | Other | NY | AETNA USHC PPO |
| 397115 | Other | NY | MVP |
| 930721 | Other | NY | EMPIRE BCBS |
| 2330133 | Other | NY | AETNA USHC HMO |
| 4000061 | Other | NY | GHI |
| 397004 | Other | NY | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 483-6925
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients | |
| Premier Medical Group of the Hudson Valley P.C. | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Kingston Radiation Oncology | Radiation Oncology | Past | Accepting new patients |
Locations
43 New Scotland Ave
#C
Albany, NY 12208
Phone (518) 262-6696
111 Marys Ave
Ste 1
Kingston, NY 12401
Phone (845) 339-7700
111 Marys Ave
Kingston, NY 12401
Phone (845) 339-4900
1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
Interoperability endpoints
- dimitrios.papadopoulos@directaddress.net
- dpapadop@direct.health-quest.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
-
- Radiation Oncology Physician
- Kingston, NY
- NPI 1356320972
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1013996404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 READE PLACE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-454-2372",
"fax_number": "845-437-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARYS AVE",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015852",
"telephone_number": "845-339-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPADOPOULOS",
"first_name": "DIMITRIOS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "188109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01348118",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD LIBERTY",
"identifier": "P672354",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE NY",
"identifier": "000470812001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "10642",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "30K061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "7299684",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NE NY",
"identifier": "000470812002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10039815",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "2330132",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD FREEDOM",
"identifier": "P673936",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC PPO",
"identifier": "4112605",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "397115",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "930721",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "2330133",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "4000061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "397004",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.