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

Kirk D Dimitris, MD

Individual provider Orthopaedic Surgery Physician · NPI 1518020429

Kirk D Dimitris, MD is an Orthopedic Surgery in Green Bay, Wisconsin. Graduated from Ohio State University College of Medicine in 2003, 23 years ago. Practices with Baycare Clinic LLP, a 196-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Ohio and Wisconsin.

Years since qualifying
23
Trained at
Ohio State University College of Medicine
Licensed in
FL, OH, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1110 Kepler Dr
Green Bay, WI 54311-8306
Phone: (920) 288-5555
Fax: (920) 288-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1650 S 41st St, Manitowoc, WI 54220-7316 — (920) 320-5241

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 52604-020 (WI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence ME100953 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 35.085490 (OH)

Record details

NPI number1518020429
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address1035 Kepler Dr, Green Bay, WI 54311-8320

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Baycare Clinic Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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