Individual
KIRK D DIMITRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.085490
OH
207X00000X
Orthopaedic Surgery Physician
Primary
52604-020
WI
207X00000X
Orthopaedic Surgery Physician
ME100953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518020429
BCBS
WI
05
—
207X00000X
—
WI
01
—
390806395003
CHAMPUS
WI
Enumeration date
12/19/2006
Last updated
04/21/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up