NPIMap

Individual provider Active NPI

Xenofon Papadopoulos, M.D.

  • Urology Physician
  • Mitchell, SD
National Provider Identifier
1306943576
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9532 Issued in SD
Practice address
1900 Grassland Dr
Mitchell, SD 57301-6335
Phone
(605) 995-7000
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME117176 FL
Urology Physician 208800000X 11033 ND
Urology Physician 208800000X 48726 MN
Urology Physician 208800000X 9532 SD Primary

Addresses

Primary practice location

1900 Grassland Dr
Mitchell, SD 57301-6335

Mailing address

1505 Sawgrass Ave
Mitchell, SD 57301-7605
Phone (605) 251-5386

Other identifiers 1

IdentifierTypeStateIssuer
388683000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061023000238 MN Practitioner - Urology 6002813748 Reassigns benefits to 1 organization
I20150915000956 SD Practitioner - Urology 6002813748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, shared by 12 NPIs, 122 clinicians

Practice addresses (Care Compare)

110 S Logan Ave
Suite a
Gregory, SD 57533-1614
Phone (605) 835-8394

1900 Grassland Dr
Mitchell, SD 57301-6335
Phone (605) 995-5640

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

601 E 7TH St
Platte, SD 57369-2123

Hospital & facility affiliations

  • Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340
  • Avera Gregory Hospital Hospital, Gregory, SD, CCN 431338
  • Platte Health Center Hospital, Platte, SD, CCN 431306
  • Wagner Community Memorial Hospital - Cah Hospital, Wagner, SD, CCN 431315
  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11033NDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Urology CurrentSince Aug 17, 2015 Accepting new patients
Rural Health Care, Inc Current Accepting new patients
Rural Health Care, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2021 Accepting new patients
Avera Queen of Peace CurrentSince Aug 17, 2015 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Avera Queen of Peace Current Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

300 S Bruce St
Ste 100
Marshall, MN 56258

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 655-1220

Interoperability endpoints

  • Direct secure messaging: xenofon.papadopoulos@avera.sdhealthlink.net
  • Direct secure messaging: xenofon.papadopoulos.p1@direct.bondclinicpa.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 28

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

View all 28

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": "1600128000000",
    "number": "1306943576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SAWGRASS AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573017605",
            "telephone_number": "605-251-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRASSLAND DR",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016335",
            "telephone_number": "605-995-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "XENOFON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME117176",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ND",
            "license": "11033",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "48726",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SD",
            "license": "9532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "388683000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.