Individual provider Active NPI

Demetrios Sotiropoulos, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1508385618
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6383 Issued in MA
Practice address
175 Carew St Ste 250
Springfield, MA 01104
Phone
(413) 748-7350
NPI assigned
Sep 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6383 MA Primary

Addresses

Primary practice location

175 Carew St Ste 250
Springfield, MA 01104

Mailing address

175 Carew St Ste 250
Springfield, MA 01104-2483
Phone (413) 748-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222000052 MA Practitioner - Physician Assistant 1850652439 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Tufts University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

184 Main St
Fairhaven, MA 02719-3259
Phone (508) 997-3193

36 Lower Westfield Rd
Holyoke, MA 01040-2749
Phone (413) 538-6050

55 Cooper St
Agawam, MA 01001-2149
Phone (413) 333-2400

61 Cooper St
Agawam, MA 01001-2149
Phone (413) 294-6800

65 Cooper St
Agawam, MA 01001-2149
Phone (413) 786-8000

9 Maple St
Wilbraham, MA 01095-1730
Phone (413) 596-2411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

175 Carew St
Ste 250
Springfield, MA 01104
Phone (413) 748-7350

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1508385618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CAREW ST STE 250",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042483",
            "telephone_number": "413-748-7350",
            "fax_number": "413-748-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAREW ST STE 250",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-748-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTIROPOULOS",
        "first_name": "DEMETRIOS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.