ATHANASIOS D. DINIOTIS (MD) – Surgery Physician, NPI 1538148093

ATHANASIOS D. DINIOTIS (MD) is a healthcare provider. based in Elmwood park, Illinois. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 036060546 (IL). The NPI Number for ATHANASIOS D. DINIOTIS (MD) is 1538148093

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
ATHANASIOS D. DINIOTIS (MD)
NPI
1538148093
Phone
(708) 453-6800
Address
1950 N HARLEM AVE
Enumeration Date
12 January 2006
Last Update Date
26 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084536800
Graduation Year
1975 (51 years ago)
PAC ID
6305976259
Group Practice PAC ID
5597750901
Professional Enrollment ID
I20100619000050
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ATHANASIOS D. DINIOTIS (MD)

  • North Harlem Avenue, Montclare, Elmwood Park, Jefferson Township, Cook County, Illinois, 60402, United States

    ELMWOOD PARK, IL 607073717

    Phone: (708) 453-6800

    Fax: (708) 453-3985

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $202.

Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Integra LifeSciences Corporation ($167).

Total Amount

$202

General + Research + Ownership

Payments

3

Total payment records

General Amount

$202

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100619000050IGeneral SurgeryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597750901View full group profile
NameSpecialtyState
Nurse PractitionerIL
General Surgery, Colorectal Surgery (Proctology)OH
Nurse PractitionerIL
General SurgeryIL
General SurgeryIL
Nurse PractitionerIL
-IL
General SurgeryIN

Reviews

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Frequently asked questions

Is ATHANASIOS D. DINIOTIS (MD) listed with a National Provider Identifier?
Yes — ATHANASIOS D. DINIOTIS (MD) has NPI 1538148093 on file in the registry.
Is there an active status for ATHANASIOS D. DINIOTIS (MD)?
For scheduling context, ATHANASIOS D. DINIOTIS (MD) is shown as active in the registry.
What area of care is associated with ATHANASIOS D. DINIOTIS (MD)?
ATHANASIOS D. DINIOTIS (MD)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ATHANASIOS D. DINIOTIS (MD) located near Elmwood Park?
ATHANASIOS D. DINIOTIS (MD) currently maps to Elmwood Park, Illinois in this extract.
Does ATHANASIOS D. DINIOTIS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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