Dimitrios Kotsopulos, D.P.M., P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

DIMITRIOS KOTSOPULOS, D.P.M., P.C.

Practice address

12400 S Harlem Ave Ste 201
Palos Heights, IL 60463-1476

Phone

(708) 923-9630

NPI assigned

Nov 13, 2006

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dimitrios Kotsopulos, D.P.M.NPI 1437161254

Title

President, Owner

Phone

(708) 923-9630

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dimitrios Kotsopulos, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Palos Heights, IL
  • NPI 1437161254
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1255402749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE STE 201",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631476",
            "telephone_number": "708-923-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 S HARLEM AVE STE 201",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631476",
            "telephone_number": "708-923-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRIOS KOTSOPULOS, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "KOTSOPULOS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "708-923-9630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL GROUP #",
            "identifier": "01637213",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jyotsna P Deshpande, OTR/L
• Destefano&Stamat Pediatrics
• Kiran Dhillon, M.D.
• Chirag A Dholakia, M.D.
• Michele Dillon, M.S.
• Bridget Ann Dine, PA-C
• Allyn Divinagracia
• Paresh Dixit, M.D.
• Bruce R Dolitsky, MD
• Amanda Nikol Donald

• Foot & Ankle Surgery Podiatrist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.