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

Philip Demetrios Kondylis, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1407842016

Philip Demetrios Kondylis, MD is a Colorectal Surgery (Proctology) in Columbia, South Carolina. Graduated from University of Massachusetts Medical School in 1992, 34 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
34
Trained at
University of Massachusetts Medical School
Licensed in
SC
In the registry since
2005
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

2750 Laurel St Ste 103
Columbia, SC 29204-2023
Phone: (803) 865-4594
Fax: (803) 865-4594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 97056 (SC)

Record details

NPI number1407842016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 1992 (34 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia