Konstantinos Christos Hantzidiamantis, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

344133 Issued in NY

Practice address

260 Township Blvd Ste 20
Camillus, NY 13031-1678

Phone

(315) 708-0190

Fax

(315) 488-3284

NPI assigned

Mar 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

State University of Ny Upstate Medical University, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Associated Gastroenterologists of Central New York, PC

  • Gastroenterology Physician
  • Camillus, NY
  • NPI 1013938174
  NPD

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1225665839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311678",
            "telephone_number": "315-708-0091",
            "fax_number": "315-708-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311678",
            "telephone_number": "315-708-0190",
            "fax_number": "315-488-3284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4217 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130666601",
            "country_code": "US",
            "telephone_number": "315-329-7300",
            "fax_number": "315-329-7308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031899",
            "country_code": "US",
            "telephone_number": "315-448-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANTZIDIAMANTIS",
        "first_name": "KONSTANTINOS",
        "middle_name": "CHRISTOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "344133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Guereschi, PHARMD
• Kelsey Haeck, MS, RDN
• Naimah Hameed
• Linda Mary Hammond, R.N, B.S.N.
• Jill Lynn Hanson, DPT
• Stephanie Anne Harp, LPN
• Holly Hathway, LPN
• Lisa Hawthorne, A.N.P.
• Paula Lee Heinze, LPN
• Hematology-Oncology Associates of Cny, PC

• Gastroenterology Physician in Camillus, NY
• Providers in Camillus, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.