DR. DIMITRIOS KOTSOPULOS D.P.M. NPI 1437161254

NPI Information

NPI: 1437161254
Provider Name: DR. DIMITRIOS KOTSOPULOS, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
12400 S HARLEM AVE STE 201
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 923-9630
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DR. Dimitrios Kotsopulos, D.P.M. is a foot and ankle surgery podiatrist in Palos Heights, IL with 26 years of experience. DR. Dimitrios Kotsopulos, D.P.M. NPI is 1437161254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1998

The provider's business location address is:

12400 S HARLEM AVE STE 201
PALOS HEIGHTS, IL
ZIP 60463-476
Phone: (708) 923-9630

The NPI 1437161254 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).

The enumeration date for this NPI number is 8/12/2006 and was last updated on 5/19/2020.

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
1	213E00000X	Podiatrist		07000916A	INDIANA	No
2	213E00000X	Podiatrist		016-004977	ILLINOIS	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	07000916A	INDIANA	Yes
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	016-004977	ILLINOIS	No

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
1	01632993	OTHER	ILLINOIS	IL BC/BS PROVIDER #

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

NPI Synchronization or Removal

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