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DIMITRI MISAILIDIS MD NPI 1053356204


NPI Information

NPI: 1053356204
Provider Name: DIMITRI MISAILIDIS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: MARTINSBURG RADIOLOGY ASSOC INC

PECOS Registration: Yes

Address:
300 FOXCROFT AVE
SUITE 202B
MARTINSBURG, WV
ZIP 25401
Phone: (304) 263-4967
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Dimitri Misailidis, MD is a diagnostic radiology radiology in Martinsburg, WV with 45 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Dimitri Misailidis, MD NPI is 1053356204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 FOXCROFT AVE
SUITE 202B
MARTINSBURG, WV
ZIP 25401-341
Phone: (304) 263-4967
Fax: (304) 267-5461

The NPI 1053356204 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.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 6/19/2006 and was last updated on 2/1/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology15875WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000848955OTHERWEST VIRGINIAWV BCBS
20118129000MEDICAIDWEST VIRGINIA
3E07400MEDICARE UPIN
4535851500MEDICAIDMARYLAND
5MI0646561MEDICARE PIN

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: 11/14/2023

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.