Individual provider Active NPI

Constantine John Tsamasfyros, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1114989332
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17165 Issued in CO
Practice address
128 Steele St
#300
Denver, CO 80206-5219
Phone
(303) 322-2005
Fax
(303) 322-4408
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17165 CO Primary

Addresses

Primary practice location

128 Steele St
#300
Denver, CO 80206-5219

Mailing address

128 Steele St
#300
Denver, CO 80206-5219
Phone (303) 322-2005

Other identifiers 1

IdentifierTypeStateIssuer
01171651MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20090831000193 CO Practitioner - Family Practice 0547318370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4500 E 9TH Ave
Suite 740
Denver, CO 80220-3926
Phone (303) 322-2005

Hospital & facility affiliations

  • HCA Healthone Rose Hospital, Denver, CO, CCN 060032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17165COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C.J. Tsamasfyros, M.D. LLC Family Medicine CurrentSince Aug 5, 2009 Accepting new patients

Locations

4500 E 9th Ave
Ste 740
Denver, CO 80220
Phone (303) 320-6530

128 Steele St
Ste 300
Denver, CO 80206
Phone (303) 322-2005

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1114989332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 STEELE ST",
            "address_2": "#300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065219",
            "telephone_number": "303-322-2005",
            "fax_number": "303-322-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 STEELE ST",
            "address_2": "#300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065219",
            "telephone_number": "303-322-2005",
            "fax_number": "303-322-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAMASFYROS",
        "first_name": "CONSTANTINE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "17165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01171651",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.