KONSTANTINOS DAMIRIS DO
NPI 1366901183
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
150 BERGEN ST, NEWARK, NJ 07103(516) 236-1620 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Konstantinos Damiris Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONSTANTINOS DAMIRIS DO (NPI 1366901183) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger-bloomsburg Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2019).

NPPES Registry Identity

NPI1366901183
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKONSTANTINOS DAMIRISCredential: DO
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address3 Warwick BlvdIsland Park, NY 11558-1801 · (516) 236-1620
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2019
Enumeration DateMarch 19, 2019
✔ NPI 1366901183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
150 BERGEN ST, Newark, NJ 07103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Konstantinos Damiris Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254712896
PECOS Enrollment IDI20250724000257
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Konstantinos Damiris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3306 LAKE ARIEL HWY
Honesdale, PA 18431
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Internal Medicine
255 ROUTE 220 HIGHWAY
Muncy, PA 17756
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,405 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390003
Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Konstantinos Damiris's NPI number?

The NPI number for Konstantinos Damiris is 1366901183. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Konstantinos Damiris located?

Konstantinos Damiris practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (516) 236-1620.

What is Konstantinos Damiris's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Konstantinos Damiris enrolled in Medicare?

Yes. Konstantinos Damiris is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Konstantinos Damiris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Konstantinos Damiris reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Honesdale, PA) and Geisinger-Hm Joint Venture LLC (Muncy, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Konstantinos Damiris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Konstantinos Damiris accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Konstantinos Damiris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Konstantinos Damiris affiliated with any hospitals?

According to CMS data, Konstantinos Damiris is affiliated with Geisinger-Bloomsburg Hospital and Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Konstantinos Damiris was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.