Dimitrious E Stephanopoulos, MD

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

0429527 Issued in KS

Practice address

929 N Saint Francis St
Wichita, KS 67214-3821

Phone

(316) 268-5794

Fax

(316) 291-7921

NPI assigned

Jun 16, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ascension Via Christi Hospitals Wichita Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita, KS
  • NPI 1831185065
  NPD (past)
• Via Christi Regional Medical Center

  • Neonatal-Perinatal Medicine Physician
  • Wichita, KS
  • NPI 1912993148

  Pediatric Critical Care Medicine

  NPD (past)
• Via Christi Regional Medical Center Inc

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1528256112
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1972508042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1897",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672011897",
            "telephone_number": "316-268-8131",
            "fax_number": "316-291-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-5794",
            "fax_number": "316-291-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANOPOULOS",
        "first_name": "DIMITRIOUS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "KS",
            "license": "0429527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100412330A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis W Stembridge, MD
• Kelsey Stenger, PT
• Mindy Stenger, MS CCC-SLP
• Nora Elizabeth Stenzel, PA-C
• Step Together LLC
• Stephen F Hagan MD
• Stephen L. Benson, PSYD, P.a.
• Joann Marie Stephen
• Andy P. Stephens, O.D.
• Devan Stephens

• Pediatric Critical Care Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatric Critical Care Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.