Individual provider Active NPI

Dimitria Papadopoulos, DO

  • Dermatology Physician
  • Bellmore, NY
National Provider Identifier
1689640245
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
219163 Issued in NY
Practice address
2351 Bedford Ave
Bellmore, NY 11710-3627
Phone
(516) 781-5070
Fax
(718) 781-5054
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 219163 NY Primary

Addresses

Primary practice location

2351 Bedford Ave
Bellmore, NY 11710-3627

Mailing address

2351 Bedford Ave
Bellmore, NY 11710-3627
Phone (516) 781-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040810000363 NY Practitioner - Dermatology 5698747707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bellmore Dermatology PLLCGroup PAC ID 8527014935, 2 clinicians

Practice addresses (Care Compare)

2351 Bedford Ave
Bellmore, NY 11710-3627
Phone (516) 781-5070

Merit-based Incentive Payment System (MIPS)

Final score
68.06 of 100Reported as group
Quality
36.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1768
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy557

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bellmore Dermatology PLLC CurrentSince Nov 12, 2004 Accepting new patients
Park South Medical PLLC CurrentSince Aug 15, 2022 Accepting new patients
Bellmore Dermatology Dermatology Current Accepting new patients

Locations

2351 Bedford Ave
Bellmore, NY 11710
Phone (516) 781-5070

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00030

Organizations & group practices 3

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1689640245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103627",
            "telephone_number": "516-781-5070",
            "fax_number": "718-781-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 BEDFORD AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103627",
            "telephone_number": "516-781-5070",
            "fax_number": "718-781-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "DIMITRIA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "219163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.