Individual provider Active NPI

Dimitrios P Papadopoulos, MD

  • Radiation Oncology Physician
  • Kingston, NY
National Provider Identifier
1013996404
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
188109 Issued in NY
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

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01348118MedicaidNY
P672354OtherNYOXFORD LIBERTY
000470812001OtherNYBCBS NE NY
10642OtherNYGHI HMO
30K061OtherNYEMPIRE BCBS
7299684OtherNYGHI PPO
000470812002OtherNYBCBS NE NY
10039815OtherNYCDPHP
2330132OtherNYAETNA USHC HMO
P673936OtherNYOXFORD FREEDOM
4112605OtherNYAETNA USHC PPO
397115OtherNYMVP
930721OtherNYEMPIRE BCBS
2330133OtherNYAETNA USHC HMO
4000061OtherNYGHI
397004OtherNYMVP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000110 NY Practitioner - Hematology/OncologyPractitioner - Radiation Oncology 9436054921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Radiation 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

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Oct 15, 2017 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Oct 15, 2017 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Jan 30, 2017 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

  • Direct secure messaging: dimitrios.papadopoulos@directaddress.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.