Individual provider Active NPI

Dimitrios Constantinos Papadouris, M.D.

  • Vascular & Interventional Radiology Physician
  • Springfield, VA
National Provider Identifier
1417940818
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2003016658 Issued in MO
Practice address
8001 Forbes PL
Suite 103
Springfield, VA 22151-2208
Phone
(703) 824-3200
NPI assigned
Aug 31, 2005
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 101239386 VA
Diagnostic Radiology Physician 2085R0202X 220316 MA
Vascular & Interventional Radiology Physician 2085R0204X 0101239386 VA
Vascular & Interventional Radiology Physician 2085R0204X 2003016658 MO Primary
Vascular & Interventional Radiology Physician 2085R0204X 220316 MA

Addresses

Primary practice location

8001 Forbes PL
Suite 103
Springfield, VA 22151-2208

Mailing address

PO Box 658
Baltimore, MD 21203
Phone (877) 845-9689

Other practice location 1

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1199

Other practice location 2

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

Other practice location 3

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

Other practice location 4

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000

Other identifiers 17

IdentifierTypeStateIssuer
2059631MedicaidMA
4931751OtherMACIGNA
90530OtherMAFALLON
AA14486OtherMAHARVARD PILGRIM HEALTH CA
123003OtherMAAETNA/US HEALTHCARE
68222OtherMACHILDREN'S MEDICAL
68222OtherMAHEALTHY START
A37109OtherMAMEDICARE
P00166139OtherMARAIL ROAD MEDICARE
038104200MedicaidDC
2236708OtherMAFIRST HEALTH
5540285OtherMAFIRST HEALTH CCN
01Y007671NH01OtherNHNH BLUE SHIELD
469507OtherMATUFTS HEALTH PLAN
J26090OtherMABLUE CROSS/BLUE SHIELD
971090OtherMANETWORK HEALTH PLAN
30204331OtherNHNH MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, SC, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20060831000144 DC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9537139902 Reassigns benefits to 6 organizations
I20060831000202 VA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9537139902 Reassigns benefits to 3 organizations
I20241031004013 SC Practitioner - Diagnostic Radiology 9537139902 Reassigns benefits to 2 organizations
I20260129002923 NC Practitioner - Diagnostic Radiology 9537139902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2385 Sandfiddler Rd
Corolla, NC 27927-9302
Phone (800) 841-4236

7855 Southdown Rd
Alexandria, VA 22308-1346
Phone (800) 841-4236

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1916

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92382SCMDSchool Registered Nurse
101239386VAMDDiagnostic Radiology Physician
220316MAMDVascular & Interventional Radiology Physician
0101239386VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Health Corp Diagnostic Radiology CurrentSince Nov 13, 2025 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Oct 3, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jan 3, 2025 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Sentara Medical Group CurrentSince Mar 9, 2024 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jul 13, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Jul 2, 2024 Accepting new patients
Ifrc, LLC CurrentSince Jan 15, 2024 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jul 13, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Jul 2, 2024 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients
Musc Community Physicians CurrentSince Jan 3, 2025 Accepting new patients
Magnetic Resonance Imaging Associates of VA, PC Diagnostic Radiology Past Accepting new patients
Computed Tomography Associates, PC Diagnostic Radiology Past Accepting new patients
Washington University Diagnostic Radiology Past Accepting new patients

Locations

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6355 Walker Ln
Alexandria, VA 22310
Phone (703) 664-7453

8081 Innovation Park Dr
Ste 204
Fairfax, VA 22031
Phone (703) 698-9600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

450 Springpark Pl
Ste 100
Herndon, VA 20170
Phone (703) 481-9400

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

2300 Opitz Blvd
Ste G209
Woodbridge, VA 22191

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1417940818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21203",
            "telephone_number": "877-845-9689",
            "fax_number": "301-668-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FORBES PL",
            "address_2": "SUITE 103",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512208",
            "telephone_number": "703-824-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-1199",
            "fax_number": "703-583-4923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Forest Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101460",
            "country_code": "US",
            "telephone_number": "301-754-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041016",
            "country_code": "US",
            "telephone_number": "314-617-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19801 Observation Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764070",
            "country_code": "US",
            "telephone_number": "301-557-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPADOURIS",
        "first_name": "DIMITRIOS",
        "middle_name": "CONSTANTINOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "101239386",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "220316",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101239386",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": "2003016658",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "220316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059631",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4931751",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "90530",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "AA14486",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "123003",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MEDICAL",
            "identifier": "68222",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "68222",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A37109",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00166139",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "038104200",
            "state": "DC"
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        {
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            "issuer": "FIRST HEALTH",
            "identifier": "2236708",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH CCN",
            "identifier": "5540285",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH BLUE SHIELD",
            "identifier": "01Y007671NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "469507",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "J26090",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN",
            "identifier": "971090",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICAID",
            "identifier": "30204331",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.