DIMITRIOS CONSTANTINE PAPPADEMOS MD
NPI 1760011431
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
1411 E 31ST ST, 2ND FLR A2, OAKLAND, CA 94602(510) 437-5039(510) 535-7313 Get Directions Write a Review

NPPES record last updated: April 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dimitrios Constantine Pappademos Md NPPES

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

DIMITRIOS CONSTANTINE PAPPADEMOS MD (NPI 1760011431) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760011431
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDIMITRIOS CONSTANTINE PAPPADEMOSCredential: MD
Location Address1411 E 31ST ST, 2ND FLR A2Oakland, CA 94602-1018
Mailing Address1411 E 31st St, 2nd Flr A2Oakland, CA 94602-1018 · (510) 437-5039 · Fax (510) 535-7313
Fax(510) 535-7313
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 5, 2020
NPPES CertifiedApril 5, 2020
NPI 1760011431 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.
1411 E 31ST ST, Oakland, CA 94602

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dimitrios Constantine Pappademos Md 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 ID9335630771
PECOS Enrollment IDI20251113003779
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.

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.

Social Worker (Clinical)
1411 E 31ST ST
OAKLAND, CA 94602
Nurse Practitioner (Family)
1411 E 31ST ST
OAKLAND, CA 94602
Obstetrics & Gynecology
1411 E 31ST ST, OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Social Worker (Clinical)
1411 E 31ST ST, ALAMEDA COUNTY MEDICAL CENTER - MEDICAL SOCAL WORK SRVC
OAKLAND, CA 94602
Registered Nurse (Ambulatory Care)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Surgery
1411 E 31ST ST
OAKLAND, CA 94602

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 Dimitrios Pappademos's NPI number?

The NPI number for Dimitrios Pappademos is 1760011431. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Dimitrios Pappademos located?

Dimitrios Pappademos practices at 1411 E 31st St 2nd Flr A2, Oakland, CA 94602. The listed phone number is (510) 437-5039.

What is Dimitrios Pappademos's specialty?

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

Is Dimitrios Pappademos enrolled in Medicare?

Yes. Dimitrios Pappademos 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.

When was this NPI record last updated?

The NPPES record for Dimitrios Pappademos was last updated on April 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.