NPIMap

Organization Active NPI

Dimitri Golfinopoulos, DO, PA

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1740320829
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DIMITRI GOLFINOPOULOS, DO, PA
Practice address
400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030
Phone
(913) 681-2398
Fax
(913) 681-2416
NPI assigned
Feb 7, 2007
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Dimitri Golfinopoulos, DONPI 1558380576
Title
Director
Phone
(913) 681-2398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05-28058 KS
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030

Mailing address

400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030
Phone (913) 681-2398

Other names 1

  • DIMITRI GOLFINOPOULOS, DO, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031209001008 MO Part B Supplier - Clinic/Group Practice 0143126292 Receives reassigned benefits from 4 practitioners
Practice locations: Kansas City, MO
O20050721001070 KS Part B Supplier - Clinic/Group Practice 0143126292 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

6850 Hilltop Rd
Ste 150
Shawnee Mission, KS 66226
Phone (913) 334-9003

400 E Red Bridge Rd
Ste 113
Kansas City, MO 64131
Phone (816) 941-4111

400 E Red Bridge Rd
Ste 207
Kansas City, MO 64131
Phone (913) 581-2398

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1740320829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "913-681-2398",
            "fax_number": "913-681-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "913-681-2398",
            "fax_number": "913-681-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI GOLFINOPOULOS, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "GOLFINOPOULOS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "913-681-2398",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-28058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIMITRI GOLFINOPOULOS, DO, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DIMITRI GOLFINOPOULOS, DO, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.