Individual provider Active NPI

Kyriakos Peter Papadopoulos, M.D.

  • Hematology & Oncology Physician
  • San Antonio, TX
National Provider Identifier
1376546861
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
L8877 Issued in TX
Practice address
4383 Medical Dr
San Antonio, TX 78229-3307
Phone
(210) 593-5700
Fax
(210) 593-5992
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X L8877 TX Primary

Addresses

Primary practice location

4383 Medical Dr
San Antonio, TX 78229-3307

Mailing address

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-5700

Other identifiers 2

IdentifierTypeStateIssuer
170957801MedicaidTX
170957803MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000471 TX Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 4981672060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Oncology and Hematology, PLLCGroup PAC ID 4486618022, 39 clinicians

Practice addresses (Care Compare)

155 E Sonterra Blvd
Suite 200
San Antonio, TX 78258-3989
Phone (210) 593-5700

4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-5700

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
62.04
Promoting interoperability
90
Improvement activities
40
Cost
84.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Oncology and Hematology, PLLC CurrentSince Feb 5, 2007 Accepting new patients
South Texas Oncology and Hematology, PLLC Hematology & Oncology CurrentSince Feb 5, 2007 Accepting new patients
Cancer Healthcare Associates Hematology & Oncology Past Accepting new patients

Locations

7979 Wurzbach Rd
#G330
San Antonio, TX 78229
Phone (210) 562-1609

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

7979 Wurzbach Rd
Ste 500
San Antonio, TX 78229

502 Madison Oak Dr
Ste 120
San Antonio, TX 78258

5715 Rogers Rd
San Antonio, TX 78251

4383 Medical Dr
San Antonio, TX 78229
Phone (210) 593-2584

7979 Wurzbach Rd
#330
San Antonio, TX 78229
Phone (210) 616-5249

Interoperability endpoints

  • Direct secure messaging: kpapadopoulos@stoh.direct.varian.com

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1376546861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-5700",
            "fax_number": "210-593-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-5700",
            "fax_number": "210-593-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "KYRIAKOS",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L8877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170957801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170957803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.