Individual provider Active NPI

Steven Michael Dandalides, M.D.

  • Gastroenterology Physician
  • Greenville, NC
National Provider Identifier
1679558472
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
38598 Issued in NC
Practice address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone
(252) 413-6260
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301504154 MI
Gastroenterology Physician 207RG0100X 38598 NC Primary
Gastroenterology Physician 207RG0100X 01086272A IN
Gastroenterology Physician 207RG0100X 0101040588 VA

Addresses

Primary practice location

1850 W Arlington Blvd
Greenville, NC 27834-5704

Mailing address

2349 Haversham Close
Virginia Beach, VA 23454-1154
Phone (757) 553-2718

Other practice location 1

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8000

Other practice location 2

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone (260) 266-5230

Other practice location 3

900 Cooper Ave Ste 4300
Saginaw, MI 48602-5182
Phone (989) 583-7460

Other practice location 4

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-4831

Other identifiers 6

IdentifierTypeStateIssuer
159605OtherVABCBS
2128264OtherVAMAMSI/MDIPA
2128264OtherVAUNITEDHEALTHCARE
010102995MedicaidVA
15842OtherVASENTARA/OPTIMA
890565MMedicaidNC

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL HALO Health Information Exchange (HIE)
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address sdandalides653706@Direct.Parkviewexchange.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, MI, IN, SC, NE6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20050113000141 VA Practitioner - Gastroenterology 5799733200 Reassigns benefits to 1 organization
I20220307002213 NC Practitioner - Gastroenterology 5799733200 Reassigns benefits to 1 organization
I20240326004037 MI Practitioner - Gastroenterology 5799733200 Reassigns benefits to 2 organizations
I20240530002295 IN Practitioner - Gastroenterology 5799733200 Reassigns benefits to 2 organizations
I20241021001869 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 5799733200 Reassigns benefits to 1 organization
I20260305003716 NE Practitioner - Gastroenterology 5799733200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Vanderbilt University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians
Porter Physician Services LLCGroup PAC ID 1850482407, 96 clinicians

Practice addresses (Care Compare)

11104 Parkview Circle Dr
Fort Wayne, IN 46845-1672
Phone (206) 266-5400

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 425-6030

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6443

2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 425-6030

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-6503

804 22ND Ave
Kearney, NE 68845-2206
Phone (308) 455-3600

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-6380

Hospital & facility affiliations

  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504154MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Sep 15, 2024 Accepting new patients
Parkview Health System,Inc. Gastroenterology CurrentSince May 21, 2024 Accepting new patients
Integrative Regional Medical Center, P.C. CurrentSince Feb 1, 2023 Accepting new patients
Bryan Hospital Kearney CurrentSince Mar 1, 2026 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Aug 1, 2024 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc CurrentSince Mar 21, 2024 Accepting new patients
NHCS Physicians Inc CurrentSince Dec 3, 2021 Accepting new patients
Musc Community Physicians Gastroenterology CurrentSince Sep 15, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 17, 2023 Accepting new patients
Parkview Health System Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients
Bryan Hospital Kearney CurrentSince Mar 1, 2026 Accepting new patients
Satnam Medical PLLC PastSince Mar 21, 2024 Accepting new patients
Cleanslate Medical Group of Virginia, LLC PastSince Apr 1, 2019 Accepting new patients

Locations

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

1100 E Michigan Ave
Ste 205
Jackson, MI 49201
Phone (517) 205-7618

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

900 Cooper Ave
Ste 4300
Saginaw, MI 48602
Phone (989) 583-7460

521 Moye Blvd
Ste C
Greenville, NC 27834
Phone (252) 744-1440

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

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

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

155 Kingsley Ln
Ste 300
Norfolk, VA 23505
Phone (757) 500-9024

Interoperability endpoints

  • Direct secure messaging: sdandalides1032420@direct.hfhs.org
  • Direct secure messaging: stevendandalides@pepa.medalliesdirect.net
  • Direct secure messaging: steven.dandalides@gat.eclinicaldirectplus.com
  • Direct secure messaging: sdandalides653706@direct.parkviewexchange.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1679558472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 HAVERSHAM CLOSE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541154",
            "telephone_number": "757-553-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-413-6260"
        }
    ],
    "practiceLocations": [
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            "address_1": "2460 Curtis Ellis Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042237",
            "country_code": "US",
            "telephone_number": "252-962-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "address_purpose": "LOCATION",
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            "state": "IN",
            "postal_code": "468451733",
            "country_code": "US",
            "telephone_number": "260-266-5230",
            "fax_number": "260-266-5238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Cooper Ave Ste 4300",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025182",
            "country_code": "US",
            "telephone_number": "989-583-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANDALIDES",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301504154",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "38598",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01086272A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101040588",
            "primary": false
        }
    ],
    "identifiers": [
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            "desc": "Other (non-Medicare)",
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            "identifier": "159605",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/MDIPA",
            "identifier": "2128264",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2128264",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010102995",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA",
            "identifier": "15842",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890565M",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HALO",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2460 Curtis Ellis Dr",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdandalides653706@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.