Active NPI
Dimitrios Virvilis, MD
- Vascular Surgery Physician
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 24090
- Practice address
- 3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862 - Phone
- (803) 434-6889
- NPI assigned
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 24090 | MS | Primary |
Addresses
Primary practice location
3 Richland Medical Park Dr Ste 330
Columbia, SC 29203-6862
Mailing address
139 Bayerl Dr
Columbia, SC 29206-3167
Phone (631) 805-9542
Other practice location 1
1340 Broad Ave
Suite 220
Gulfport, MS 39501-2404
Phone (228) 864-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 21 |
| Removal of tissue | 35 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| St. Francis Hospital | Past | Accepting new patients |
Locations
2200 Northern Blvd
Ste 210
Greenvale, NY 11548
Phone (516) 248-2422
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dvirvilis147034@direct-chsli.net
- https://api.platform.athenahealth.com/21626/brand/2/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Family Medicine Physician
- Bellmore, NY
- NPI 1720334527
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1275795148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 BAYERL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292063167",
"telephone_number": "631-805-9542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RICHLAND MEDICAL PARK DR STE 330",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036862",
"telephone_number": "803-434-6889"
}
],
"practiceLocations": [
{
"address_1": "1340 Broad Ave",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395012404",
"country_code": "US",
"telephone_number": "228-864-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIRVILIS",
"first_name": "DIMITRIOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-01",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MS",
"license": "24090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.