Individual provider Active NPI

Demetrios J Agriantonis, MD

  • Vascular & Interventional Radiology Physician
  • Newark, DE
National Provider Identifier
1063577005
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
C1-0010195 Issued in 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
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 1899 WI
Diagnostic Radiology Physician 2085R0202X C10010195 DE
Vascular & Interventional Radiology Physician 2085R0204X C1-0010195 DE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20121022000312 DE Practitioner - Interventional RadiologyPractitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5991955338 Reassigns benefits to 4 organizations
I20141016001143 PA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 5991955338 Reassigns benefits to 1 organization
I20260227000874 MD Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5991955338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic 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 IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1899WIMDNuclear Medicine Physician
C1-0010195DEMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Jan 19, 2026 Accepting new patients
Christiana Care Health Services, Inc Nuclear Medicine CurrentSince Oct 8, 2013 Accepting new patients
Union Hospital of Cecil County, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Oct 6, 2012 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 23, 2014 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 6, 2012 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Dec 31, 2012 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Sep 13, 2017 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 107
Newark, DE 19718

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

Organizations & group practices 11

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 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1063577005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 1E20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-5625",
            "fax_number": "302-733-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 1E20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19718",
            "telephone_number": "302-733-5625",
            "fax_number": "302-733-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRIANTONIS",
        "first_name": "DEMETRIOS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "WI",
            "license": "1899",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C10010195",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DE",
            "license": "C1-0010195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.