Kostantinos Elias Psihramis, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036114858 Issued in IL

Practice address

3 Saint Elizabeth Blvd Ste 5000
O Fallon, IL 62269-1282

Phone

(618) 641-5803

Fax

(618) 641-5116

NPI assigned

Nov 25, 2005

Last updated

Mar 7, 2023By the provider in NPPES

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

Enrolled in IL

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

Specialty

Urology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sparta Community Hospital D/B/a Quality Healthcare ClinicsGroup PAC ID 6709870462, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sparta Community Hospital Hospital, Sparta, IL, CCN 141349

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sparta Community Hospital D/B/a Quality Healthcare Clinics

  • Multi-Specialty Clinic/Center
  • Sparta, IL
  • NPI 1114984226
  Medicare reassignment Care Compare group NPD
• Sparta Community Hospital

  • Critical Access Hospital
  • Sparta, IL
  • NPI 1548216476
  Medicare reassignment
• Sparta Community Hospital D/B/a Quality Healthcare Clinics

  • Rural Health Clinic/Center
  • Steeleville, IL
  • NPI 1669588000
  NPD (past)
• Danville Urologic Clinic Inc

  dba Southside Urology & Nephrology

  • Nephrology Physician
  • Danville, VA
  • NPI 1619927100

  Urology

  NPD (past)
• Piedmont Day Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Danville, VA
  • NPI 1821064031
  NPD (past)
• Piedmont Stone Center PLLC

  • Lithotripsy Clinic/Center
  • Winston Salem, NC
  • NPI 1700827409

  Urology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sparta Community Hospital

  • Critical Access Hospital
  • Sparta, IL
  • NPI 1548216476
  Care Compare affiliation

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902889793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN ST",
            "address_2": "SUITE 101",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201901",
            "telephone_number": "618-641-5803",
            "fax_number": "618-641-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 5000",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "618-641-5803",
            "fax_number": "618-641-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSIHRAMIS",
        "first_name": "KOSTANTINOS",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036114858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.