Konstantine Konstantine Yankopolus, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME22595 Issued in FL

Practice address

3880 Colonial Blvd
Suite 2
Fort Myers, FL 33966-1062

Phone

(239) 590-3883

Fax

(239) 590-3884

NPI assigned

Feb 14, 2008

Last updated

May 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Renaissance Wellness, LLC

  • Pain Medicine Physician
  • Fort Myers, FL
  • NPI 1922248830
  Authorized official Same address or phone
• Physicians for Quality Healthcare, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
  • NPI 1346514908
  NPD (past)
• Physicians for Quality Healthcare, Inc.

  dba Physicians Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Fort Myers, FL
  • NPI 1528353554
  NPD (past)
• Physicians Primary Care of Southwest Florida PL

  • General Practice Physician
  • Fort Myers, FL
  • NPI 1356336705
  NPD (past)

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1861660649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 COLONIAL BLVD",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661062",
            "telephone_number": "239-590-3883",
            "fax_number": "239-590-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COLONIAL BLVD",
            "address_2": "SUITE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661062",
            "telephone_number": "239-590-3883",
            "fax_number": "239-590-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKOPOLUS",
        "first_name": "KONSTANTINE",
        "middle_name": "KONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "022595",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME22595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny M. M. Yancey, MD
• Randall Stephen Yandek, CAA
• Yanet Community Center Inc
• Fan Yang, MD PHD
• Mary C Yankaskas, M.D.
• Heidi L Yankovich, P.T.
• Lara Yarick, RPH
• Ravi Yarlagadda, MD
• Linda Marian Yarris-Ewert, PH.D, M.D., P.A.
• Fady Samah Samy Yassa

• Pain Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.