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KONSTANTINO A AVRADOPOULOS MD NPI 1154390995


NPI Information

NPI: 1154390995
Provider Name: KONSTANTINO A AVRADOPOULOS, MD
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
94 SOUTH ST
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 764-6966
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Konstantino A Avradopoulos, MD is a surgery in Southbridge, MA with 36 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Konstantino A Avradopoulos, MD NPI is 1154390995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1988

The provider's business location address is:

94 SOUTH ST
SOUTHBRIDGE, MA
ZIP 01550-000
Phone: (508) 764-6966
Fax: (508) 764-2457

The NPI 1154390995 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

The enumeration date for this NPI number is 3/15/2006 and was last updated on 4/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery204941MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A30735MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
23207048MEDICAIDMASSACHUSETTS
3042472266OTHERPRIVATE HEALTHCARE SYSTEM
4J22103OTHERBLUE SHIELD HMO BLUE
5J22103OTHERBLUE CARE ELECT
645955OTHERCHILDRENS MEDICAL SECURIT
7A30735OTHERMEDICARE B
8G31909MEDICARE UPIN
93207048OTHERMEDICAID WELFARE
10783988OTHERMVP HEALTH CARE
11AA8132OTHERHARVARD PILGRIM HEALTHCAR
12042472266OTHERONE HEALTH PLAN
135605292OTHERAETNA US HEALTHCARE
14J22103OTHERBLUE SHIELD INDEMNITY
153207048OTHERHEALTHY START
163700043OTHEREVERCARE
178052669OTHERCIGNA HEALTH PLAN
18935195OTHERFIRST HEALTH
19042472266OTHERHEALTHCARE VALUE MANAGMEN
2045865OTHERFALLON COMMUNITY HEALTH P

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.