Dimitrios Spiros Mantzoros, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1068 Issued in TX

Practice address

1020 Riverwood CT Ste 220
Conroe, TX 77304-2974

Phone

(936) 756-9191

Fax

(936) 756-9197

NPI assigned

Jun 24, 2006

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dimitrios Mantzoros

  • Durable Medical Equipment & Medical Supplies
  • Conroe, TX
  • NPI 1154571883

  O20100930071222

  Same enrollment

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347
• Aspire Hospital Hospital, Conroe, TX, CCN 670093

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hmhdmantz@yourcarecommunity.org

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aspire Hospital, LLC

  • Psychiatric Hospital
  • Conroe, TX
  • NPI 1093955296

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Limited Partnership Interest

  CMS ownership
• Aspire Hospital, LLC

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1114340080

  5% Or Greater Direct Ownership Interest, Corporate Officer, Limited Partnership Interest

  CMS ownership

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.

• HV Wound Care Center

  • Foot & Ankle Surgery Podiatrist
  • Huntsville, TX
  • NPI 1528847506
  NPD Authorized official
• Asp Centers for Diabetic Management, LLC

  • Health Service Clinic/Center
  • Huntsville, TX
  • NPI 1417108960
  NPD (past) Authorized official
• Dimitrios Mantzoros

  • Durable Medical Equipment & Medical Supplies
  • Conroe, TX
  • NPI 1154571883
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspire Hospital, LLC

  • Psychiatric Hospital
  • Conroe, TX
  • NPI 1093955296
  Care Compare affiliation
• Aspire Hospital, LLC

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1114340080
  Care Compare affiliation
• Huntsville Community Hospital, Inc.

  dba Huntsville Memorial Hospital

  • General Acute Care Hospital
  • Huntsville, TX
  • NPI 1245878990
  Care Compare affiliation

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1285660803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "936-756-9191",
            "fax_number": "936-756-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "936-756-9191",
            "fax_number": "936-756-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTZOROS",
        "first_name": "DIMITRIOS",
        "middle_name": "SPIROS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1068",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110718701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Manjarrez
• Kayleigh Mann
• Jeffrey Mansfield-Walker
• Sarah Mansfield, OTR
• Bobbak Mansouri, M.D.
• Martha Manzanarez, DC
• Bunnarith Mao
• Robin Elizabeth Marble, RN
• Gabrielle Marchelli
• Marjorie Enterprises LLC (Hear Again)

• Foot & Ankle Surgery Podiatrist in Conroe, TX
• Providers in Conroe, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.