Active NPI
Dimitris Gerothanassis, M.D.
- Psychiatry Physician
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 226334
- Practice address
- 2825 E Barnett Rd
Medford, OR 97504-8332 - Phone
- (541) 891-7000
- NPI assigned
- Aug 22, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD496988 | PA | |
| Psychiatry Physician | 2084P0800X | 0101289430 | VA | |
| Psychiatry Physician | 2084P0800X | C176067 | CA | |
| Psychiatry Physician | 2084P0800X | 226334 | MA | Primary |
| Psychiatry Physician | 2084P0800X | 25MA13241100 | NJ |
Addresses
Primary practice location
2825 E Barnett Rd
Medford, OR 97504-8332
Mailing address
3115 Alameda St Apt 23
Medford, OR 97504-9677
Other practice location 1
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (888) 227-3898
Other practice location 2
1080 First Colonial Rd Ste 403
Virginia Beach, VA 23454-2406
Phone (757) 395-1850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134489 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgerothanassis1512565@ValleyHealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MP, FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201231000236 | MP | Practitioner - Psychiatry | 2163525478 | Reassigns benefits to 1 organization |
| I20260429004386 | FL | Practitioner - Psychiatry | 2163525478 | Reassigns benefits to 2 organizations |
| I20260617000624 | VA | Practitioner - Psychiatry | 2163525478 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
1100 Immokalee Rd
Suite 100
Naples, FL 34110-4810
220 Campus Blvd
Suite 320
Winchester, VA 22601-2888
2995 Drew St
FL 2
Clearwater, FL 33759-3012
720 N Franklin Street
Suite 401
Chicago, IL 60654-7212
720 N Franklon St
Suite 401
Chicago, IL 60654-7212
800 Independence Blvd
FL 5
Virginia Beach, VA 23455-6011
9525 Camino Media
Bakersfield, CA 93311-1314
Hospital & facility affiliations
- Asante Rogue Regional Medical Center
- Asante Three Rivers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226334 | MA | MD | Psychiatry Physician |
| 0101289430 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Asante Physician Partners | Psychiatry | Current | Accepting new patients |
Locations
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
Organizations & group practices 6
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saipan, MP
- NPI 1285858290
MP
-
- Rural Health Clinic/Center
- Rota, MP
- NPI 1679097315
-
- General Acute Care Hospital
- Saipan, MP
- NPI 1871616292
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1124134069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 ALAMEDA ST APT 23",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048332",
"telephone_number": "541-891-7000"
}
],
"practiceLocations": [
{
"address_1": "130 S Bryn Mawr Ave",
"address_purpose": "LOCATION",
"city": "Bryn Mawr",
"state": "PA",
"postal_code": "190103121",
"country_code": "US",
"telephone_number": "888-227-3898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1080 First Colonial Rd Ste 403",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234542406",
"country_code": "US",
"telephone_number": "757-395-1850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEROTHANASSIS",
"first_name": "DIMITRIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD496988",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101289430",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C176067",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "226334",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA13241100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2134489",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgerothanassis1512565@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "220 Campus Blvd Ste 320",
"city": "Winchester",
"state": "VA",
"country_code": "US",
"postal_code": "226012889",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.