Active NPI
Christos Sarantopoulos, MD
- Internal Medicine Physician
- Tyler, TX
National Provider Identifier
1326612979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- V1254
- Practice address
- 2115 S Broadway Ave
Tyler, TX 75701-4214 - Phone
- (773) 352-1515
- NPI assigned
- May 18, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | V1254 | TX | Primary |
Addresses
Primary practice location
2115 S Broadway Ave
Tyler, TX 75701-4214
Mailing address
PO Box 746079
Atlanta, GA 30374-6079
Phone (773) 352-1515
Other practice location 1
11937 US Highway 271
Tyler, TX 75708-3154
Phone (903) 877-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Internal Medicine
- Education
- Oakland Univ, William Beaumont School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2115 S Broadway Ave
Tyler, TX 75701-4214
Phone (903) 907-7002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V1254 | TX | MD | Internal Medicine Physician |
Interoperability endpoints
- csarantopoulos360214@ahs.direct-ci.com
- csarantopoulos253835@christushealth.direct-ci.net
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Fort Worth, TX
- NPI 1497387419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1326612979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746079",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746079",
"telephone_number": "773-352-1515",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757014214",
"telephone_number": "773-352-1515"
}
],
"practiceLocations": [
{
"address_1": "11937 US Highway 271",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757083154",
"country_code": "US",
"telephone_number": "903-877-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARANTOPOULOS",
"first_name": "CHRISTOS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "V1254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.