Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dimitra Theodoropoulos, MD, FACS

Individual provider Surgery Physician · NPI 1124120498

Dimitra Theodoropoulos, MD, FACS is a General Surgery in Great Neck, New York. Qualified in 1995, 31 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New York.

Years since qualifying
31
Licensed in
MI, NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

See every abbreviation used in this directory →

Practice location Address checks out

310 E Shore Rd Ste 203
Great Neck, NY 11023-2410
Phone: (516) 482-8657
Fax: (516) 829-0002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 251938 (NY)
Surgery Physician Taxonomy 208600000X · Licence 4301081475 (MI)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 4301081475 (MI)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 251938 (NY)

Record details

NPI number1124120498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , FACS
Sole proprietorNo
NPI enumeratedSeptember 5, 2006
Last updated in NPPESApril 1, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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