Evangelos Demetrios Xistris, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

20144 Issued in CT

Practice address

29 Hospital Plaza
Suite 602
Stamford, CT 06902-3602

Phone

(203) 276-4464

Fax

(203) 276-4468

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1801957139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLAZA",
            "address_2": "SUITE 602",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-4464",
            "fax_number": "203-276-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLAZA",
            "address_2": "SUITE 602",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023602",
            "telephone_number": "203-276-4464",
            "fax_number": "203-276-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XISTRIS",
        "first_name": "EVANGELOS",
        "middle_name": "DEMETRIOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "20144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Alice Wurst, MD
• Jane Wynne, MS, RD
• Jianxiang Xia, MD
• Yuting Xiong, M.D., PH.D.
• Deanna G Xistris, APRN
• Bo Xu, M.D.
• PO Priscilla Xu, MD
• Nadha Fathima Yakoob
• Yale University
• Yamel Coroll-Iglesias

• Neurology Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.