Individual provider Active NPI

Constantine Demetrius Kyropoulos, MD

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1295917672
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD3819 Issued in DC
Practice address
2110 Bancroft PL NW
Washington, DC 20008-4020
Phone
(202) 462-5311
NPI assigned
Nov 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD3819 DC Primary

Addresses

Primary practice location

2110 Bancroft PL NW
Washington, DC 20008-4020

Mailing address

2110 Bancroft PL NW
Washington, DC 20008-4020
Phone (202) 462-5311

Other identifiers 1

IdentifierTypeStateIssuer
E13414OtherHEALTH CARE FINANCING ADM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD3819DCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1295917672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BANCROFT PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084020",
            "telephone_number": "202-462-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 BANCROFT PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084020",
            "telephone_number": "202-462-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYROPOULOS",
        "first_name": "CONSTANTINE",
        "middle_name": "DEMETRIUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD3819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE FINANCING ADM",
            "identifier": "E13414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.