NPIMap

Individual provider Active NPI

Dimitrios Nasioudis, M.D

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1548798093
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MT212686 Issued in PA
Practice address
3400 Spruce Street, 1 West Gates,
Hellen O. Dickens Center for Women's Health
Philadelphia, PA 19104-3123
Phone
(215) 662-2730
NPI assigned
May 30, 2017
Last updated
May 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT212686 PA Primary

Addresses

Primary practice location

3400 Spruce Street, 1 West Gates,
Hellen O. Dickens Center for Women's Health
Philadelphia, PA 19104-3123

Mailing address

3400 Spruce Street, 1 West Gates,
Hellen O. Dickens Center for Women's Health
Philadelphia, PA 19104-3123

Other practice location 1

3900 Spruce Street, 1 West Gates
Helen O. Dickens Center for Women's Health
Philadelphia, PA 19104-4113
Phone (215) 662-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514000303 PA Practitioner - Obstetrics/Gynecology 2860747995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jun 20, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jun 20, 2024 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients

Locations

3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1548798093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET, 1 WEST GATES,",
            "address_2": "HELLEN O. DICKENS CENTER FOR WOMEN'S HEALTH",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET, 1 WEST GATES,",
            "address_2": "HELLEN O. DICKENS CENTER FOR WOMEN'S HEALTH",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043123",
            "telephone_number": "215-662-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Spruce Street, 1 West Gates",
            "address_2": "Helen O. Dickens Center for Women's Health",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044113",
            "country_code": "US",
            "telephone_number": "215-662-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASIOUDIS",
        "first_name": "DIMITRIOS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT212686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.