Minas Chrysopoulo, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

M3997 Issued in TX

Practice address

9635 Huebner Rd
San Antonio, TX 78240-1512

Phone

(210) 692-1181

Fax

(210) 641-7577

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: minas.chrysopoulo.p1@direct.prmaplasticsurgery.nextgenshare.com

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.

• Plastic, Reconstructive & Microsurgical Associates of South Texas PLLC

  • Plastic and Reconstructive Surgery Physician
  • San Antonio, TX
  • NPI 1063405504
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1396781340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290130",
            "telephone_number": "210-692-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401512",
            "telephone_number": "210-692-1181",
            "fax_number": "210-641-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSOPOULO",
        "first_name": "MINAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "M3997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181660501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Michael Christy, MD
• Chronic Pain Resource Center of South Texas
• Chronic Wound Solutions of Texas LLC
• Chrysalis a. Heinkel, DDS, PLLC (Chandler Dental Center)
• Chrysalis Counseling & Wellness, PLLC
• Chrystal Fullen Ms LPC
• CHS Texas Medical, P.a. (USAA Health Services)
• Edward Rickie Lim Chu, MD
• Erica Chu
• Hy Xuan Chu

• Plastic and Reconstructive Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.