Individual provider Active NPI

Dimitrios P Hondros, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1891804993
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200601131 Issued in NC
Practice address
11220 Elm LN Ste 102
Charlotte, NC 28277-0716
Phone
(704) 847-4000
Fax
(704) 847-4001
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200601131 NC Primary

Addresses

Primary practice location

11220 Elm LN Ste 102
Charlotte, NC 28277-0716

Mailing address

PO Box 4178
Belfast, ME 04915-4100

Other identifiers 2

IdentifierTypeStateIssuer
5904732MedicaidNC
N01132MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dimitrios.hondros.1@4412.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20061027000391 NC Practitioner - Family Practice 1153328596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Family Healthcare, PAGroup PAC ID 3577546662, 6 clinicians
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

11220 Elm LN
Suite 102
Charlotte, NC 28277-0716
Phone (704) 943-5075

148 Hwy 105 Ext
Suite 102
Boone, NC 28607-5682
Phone (828) 386-2222

Hospital & facility affiliations

  • Watauga Medical Center Hospital, Boone, NC, CCN 340051
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200601131NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Healthcare, PA Family Medicine CurrentSince Apr 18, 2024 Accepting new patients
Appalachian Regional Medical Associates, Inc. Family Medicine CurrentSince Feb 28, 2024 Accepting new patients

Locations

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

148 Highway 105 Ext
Ste 102
Boone, NC 28607
Phone (828) 257-2946

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

11220 Elm Ln
Ste 102
Charlotte, NC 28277
Phone (704) 847-4000

1932 Weddington Rd
Weddington, NC 28104
Phone (704) 847-4000

Interoperability endpoints

  • Direct secure messaging: dhondros225034@direct.unc.nchie.net

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 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1891804993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4178",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770716",
            "telephone_number": "704-847-4000",
            "fax_number": "704-847-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONDROS",
        "first_name": "DIMITRIOS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200601131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904732",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01132",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dimitrios.hondros.1@4412.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "11220 Elm Ln Ste 102",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282770716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.