Demetrios J Agriantonis, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Newark, DE
NPI 1063577005 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1063577005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- C1-0010195 (DE)
- Practice address
- 4755 Ogletown Stanton Road
Suite 1E20
Newark, DE 19718 - Phone
- (302) 733-5625
- Fax
- (302) 733-5665
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 30
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- Rutgers New Jersey Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088
Hospital & facility affiliations
- Christiana Hospital
- Union Hospital of Cecil County
- Select Specialty Hospital Wilmington
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DE, PA, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121022000312 | DE | Practitioner - Interventional Radiology |
5991955338 | Reassigns benefits to 4 organizations |
| I20141016001143 | PA | Practitioner - Diagnostic Radiology |
5991955338 | Reassigns benefits to 1 organization |
| I20260227000874 | MD | Practitioner - Interventional Radiology |
5991955338 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Nuclear Medicine | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Union Hospital of Cecil County, Inc. | Current |
Accepting new patients | |
| Union Hospital of Cecil County | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 107
Newark, DE 19718
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4755 Ogletown Stanton Rd
Ste 1E20
Newark, DE 19718
Phone (302) 733-5625
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060
161 Wilmington W Chester Pike
#14
Chadds Ford, PA 19317
161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 1899 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | C10010195 | DE | |
| Vascular & Interventional Radiology Physician | 2085R0204X | C1-0010195 | DE | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Suite 1E20
Newark, DE 19718
Mailing address
4755 Ogletown Stanton Road
Suite 1E20
Newark, DE 19718
Phone (302) 733-5625
Other providers in Newark, DE
- Reynold S Agard
- Raphael Agbor-Enoh
- Inongo D. Agbormbai
- Awanwosa Valentine Agho
- Janelle Agnew
- Mansoor Ahmad
- Sajjad Ahmad
- Tyonna Ahmad
- Jamil Ahmed
- Omnia Ahmed Ahmed
All providers in Newark, DE · Vascular & Interventional Radiology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.