Individual provider Active NPI

Demetrios Konstas, M.D.

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1124394382
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME126111 Issued in FL
Practice address
2816 W Virginia Ave
Tampa, FL 33607-6330
Phone
(813) 876-6321
Fax
(813) 870-0350
NPI assigned
Mar 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME126111 FL Primary

Addresses

Primary practice location

2816 W Virginia Ave
Tampa, FL 33607-6330

Mailing address

2816 W Virginia Ave
Tampa, FL 33607-6330
Phone (813) 876-6321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161219000835 FL Practitioner - Neurology 9436439015 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126111FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Specialties Neurology PA Neurology CurrentSince Jan 16, 2017 Accepting new patients
Neurological Specialties Neurosurgery PA PastSince Jan 16, 2017 Accepting new patients

Locations

2816 W Virginia Ave
Tampa, FL 33607
Phone (813) 876-6321

Interoperability endpoints

  • Direct secure messaging: demetrios.konstas@nsp.ssdirect.aprima.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1124394382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076330",
            "telephone_number": "813-876-6321",
            "fax_number": "813-870-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 W VIRGINIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076330",
            "telephone_number": "813-876-6321",
            "fax_number": "813-870-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTAS",
        "first_name": "DEMETRIOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-31",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME126111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.