Philip Demetrios Kondylis, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

97056 Issued in SC

Practice address

2750 Laurel St Ste 103
Columbia, SC 29204-2023

Phone

(803) 865-4594

Fax

(803) 865-4594

NPI assigned

Sep 20, 2005

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Colorectal Surgery (Proctology)

Education

University of Massachusetts Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkondylis700856@direct.ahn.org

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.

• St Vincent Medical Education and Research Institute Inc

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902881477
  Medicare reassignment Care Compare group NPD
• Rectal and Colon Surgery Inc

  • Colon & Rectal Surgery Physician
  • Erie, PA
  • NPI 1548215296
  NPD
• Saint Vincent Consultants in Cardiovascular Diseases

  • Cardiovascular Disease Physician
  • Erie, PA
  • NPI 1902114911
  NPD (past)
• St Vincent Medical Education and Research Institute Inc

  • Colon & Rectal Surgery Physician
  • Erie, PA
  • NPI 1194049288
  NPD (past)

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

• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1407842016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 LAUREL ST STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042023",
            "telephone_number": "803-865-4594",
            "fax_number": "803-865-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 LAUREL ST STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042023",
            "telephone_number": "803-865-4594",
            "fax_number": "803-865-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDYLIS",
        "first_name": "PHILIP",
        "middle_name": "DEMETRIOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": "97056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Kolb
• Ivan Kolev, PT
• Jessica Alexis Koller, ATC
• Karli Elaine Kolsut
• Mary Sarah Komar
• Kool Smiles SC-2, PC
• David E Koon Sr., MD
• David Edwin Koon Jr., M.D.
• Monica Ann Kopp, RPH, BCOP
• Robert Korboi

• Colon & Rectal Surgery Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Colon & Rectal Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.