Individual provider Active NPI

Dimitri Delagrammaticas, MD

  • Orthopaedic Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1881936128
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A161981 Issued in CA
Practice address
862 Meinecke Ave Ste 100
San Luis Obispo, CA 93405-3701
Phone
(805) 541-4600
Fax
(805) 541-8716
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A161981 CA
Orthopaedic Surgery Physician 207X00000X A161981 CA Primary

Addresses

Primary practice location

862 Meinecke Ave Ste 100
San Luis Obispo, CA 93405-3701

Mailing address

862 Meinecke Ave Ste 100
San Luis Obispo, CA 93405-3701
Phone (805) 541-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190716002402 CA Practitioner - Orthopedic Surgery 1254635097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Central Coast Orthopedic Medical GroupGroup PAC ID 8426945916, 19 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

862 Meinecke Ave
Suite 100
San Luis Obispo, CA 93405-3701
Phone (805) 541-4600

Hospital & facility affiliations

  • Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
  • Aevum Home Health Home health agency, San Luis Obispo, CA, CCN 559787
  • Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement189
Knee replacement74
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161981CAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Orthopedic Medical Group Orthopaedic Surgery CurrentSince Jul 13, 2019 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

921 Oak Park Blvd
Ste 204
Pismo Beach, CA 93449
Phone (805) 473-4949

2342 Professional Pkwy
Ste 200
Santa Maria, CA 93455
Phone (805) 349-9545

862 Meinecke Ave
Ste 100
Sn Luis Obisp, CA 93405
Phone (805) 541-4600

322 Posada Ln
Ste A
Templeton, CA 93465
Phone (805) 434-5555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ddelagrammaticas@centralcoastortho.emadirect.md
  • Direct secure messaging: ddelagrammaticas@ccomg1991.srs-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1881936128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 MEINECKE AVE STE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934053701",
            "telephone_number": "805-541-4600",
            "fax_number": "805-541-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 MEINECKE AVE STE 100",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934053701",
            "telephone_number": "805-541-4600",
            "fax_number": "805-541-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGRAMMATICAS",
        "first_name": "DIMITRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A161981",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A161981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.