DIMITRA JOHN TSATSOULIS MD
NPI 1609821974
Internal Medicine in Lowell, MA

Q: What is Dimitra Tsatsoulis's NPI number?

The NPI number for Dimitra Tsatsoulis is 1609821974. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Dimitra Tsatsoulis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 24, 2006PECOS Enrolled

130 MARSHALL RD, LOWELL, MA 01852(847) 364-4418(847) 318-2966 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dimitra John Tsatsoulis Md NPPES

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

DIMITRA JOHN TSATSOULIS MD (NPI 1609821974) is an individual internal medicine provider in Lowell, Massachusetts, licensed in Illinois (036108273) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609821974

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDIMITRA JOHN TSATSOULISCredential: MD

Location Address130 MARSHALL RDLowell, MA 01852

Mailing Address130 Marshall RdLowell, MA 01852 · (857) 364-4418

Phone(847) 364-4418

Fax(847) 318-2966

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateJune 28, 2023

NPPES CertifiedJune 28, 2023

✔ NPI 1609821974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036108273

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

130 MARSHALL RD, Lowell, MA 01852

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dimitra John Tsatsoulis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Dimitra Tsatsoulis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health And Hospitals Corp.

838 mi

Cardiovascular Disease

3118 N ASHLAND AVE
Chicago, IL 60657

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1487951711 (773) 880-9722

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers12 claims72 services$15.77 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers12 claims12 services$49.05 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers11 claims66 services$1.75 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims301 services$5.07 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims4,453 services$0.29 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims11 services$57.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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