Individual provider Active NPI

Demetri Yannopoulos, MD

  • Interventional Cardiology Physician
  • Minneapolis, MN
National Provider Identifier
1821143629
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
47299 Issued in MN
Practice address
420 Delaware St SE
Minneapolis
Minneapolis, MN 55455-0341
Phone
(612) 625-4465
Fax
(612) 626-4411
NPI assigned
Jan 24, 2007
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 17516 MN
Interventional Cardiology Physician 207RI0011X 47299 MN Primary

Addresses

Primary practice location

420 Delaware St SE
Minneapolis
Minneapolis, MN 55455-0341

Mailing address

420 Delaware St SE
Minneapolis
Minneapolis, MN 55455-0341
Phone (612) 625-4465

Other names 1

  • Demetris Yannopoulos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000604 MN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7911065396 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-7422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17516MNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Feb 22, 2016 Accepting new patients
Fairview Health Services Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Feb 22, 2016 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince Jun 13, 2008 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jul 1, 2021 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Jul 1, 2021 Accepting new patients
Range Regional Health Services CurrentSince Aug 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Fairview Health Services CurrentSince Jun 13, 2008 Accepting new patients
Group Health, Inc. CurrentSince Oct 10, 2019 Accepting new patients
Range Regional Health Services CurrentSince Aug 1, 2021 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
North Memorial Health Care CurrentSince Feb 1, 2021 Accepting new patients
North Memorial Health Care Current Accepting new patients
North Memorial Health Care CurrentSince Feb 1, 2021 Accepting new patients
Group Health, Inc. CurrentSince Oct 10, 2019 Accepting new patients
University of Minnesota Physicians Past Accepting new patients
Fairview Express Care Past Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401

3605 Mayfair Ave
Ste 2
Hibbing, MN 55746
Phone (218) 262-3441

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

909 Fulton St SE
Ste 318
Minneapolis, MN 55455

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

4000 Central Ave NE
Saint Anthony, MN 55421
Phone (763) 572-5700

1151 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (612) 706-4500

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

Interoperability endpoints

  • Direct secure messaging: dyannopoulos8255@fairview.direct-ci.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 3

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1821143629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MINNEAPOLIS",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-625-4465",
            "fax_number": "612-626-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MINNEAPOLIS",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-625-4465",
            "fax_number": "612-626-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNOPOULOS",
        "first_name": "DEMETRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "17516",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MN",
            "license": "47299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMETRIS",
            "last_name": "YANNOPOULOS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.