Individual provider Active NPI

Steven G Dimitriou, DO

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1275631632
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS012385 Issued in PA
Practice address
1930 S Broad St Ste 39
Philadelphia, PA 19145-2328
Phone
(215) 762-7785
Fax
(215) 568-6007
NPI assigned
Sep 20, 2006
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 05012385 PA
Nephrology Physician 207RN0300X OS012385 PA Primary

Addresses

Primary practice location

1930 S Broad St Ste 39
Philadelphia, PA 19145-2328

Mailing address

1930 S Broad St Ste 39
Philadelphia, PA 19145-2328
Phone (215) 762-7785

Other identifiers 1

IdentifierTypeStateIssuer
1015712120001MedicaidPA

Other names 1

  • Dr. Steven Dimetriou Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060502000678 PA Practitioner - NephrologyPractitioner - Internal Medicine 2961412119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

501 S 54TH St
RM 227
Philadelphia, PA 19143-1900
Phone (610) 534-6230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
74.34
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05012385PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Nephrology Assoc Inc PC Nephrology CurrentSince Jul 1, 2006 Accepting new patients
Clinical Nephrology Associates, LTD. Nephrology CurrentSince Jul 1, 2006 Accepting new patients
Clinical Renal Associates, LLC Nephrology CurrentSince May 1, 2022 Accepting new patients

Locations

30 Medical Center Blvd
Ste 303
Chester, PA 19013

100 E Lehigh Ave
Ste 104
Philadelphia, PA 19125

1930 S Broad St
Ste 39
Philadelphia, PA 19145
Phone (215) 568-2080

227 N Broad St
Ste 301
Philadelphia, PA 19107
Phone (215) 762-7785

235 N Broad St
Ste 200
Philadelphia, PA 19107
Phone (215) 468-7220

501 S 54th St
Rm 227
Philadelphia, PA 19143
Phone (610) 534-6230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: steven.dimitriou.1@3389.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1275631632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST STE 39",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BROAD ST STE 39",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452328",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRIOU",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "05012385",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS012385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015712120001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "DIMETRIOU",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.