Igor Stavitsky, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

77664 Issued in MA

Practice address

1 General St
Andrea Sullivan-Director of Managed Care Dept..
Lawrence, MA 01841-2961

Phone

(978) 683-4000

Fax

(978) 946-8017

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric MedicineAlso: Hospitalist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19377/brand/1/csg/1/fhir/r4
• Direct secure messaging: igor.stavitsky.1@19377.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HGJCDD/Endpoint/HGJCDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Hospital Pediatric Associates, Inc

  • Pediatrics Physician
  • Boston, MA
  • NPI 1457306664
  Medicare reassignment NPD
• Pediatric House Call PC

  • Specialist
  • Newton, MA
  • NPI 1134189889
  NPD (past) Authorized official
• Elm Tree Clinic, LLC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1538609904
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1023094471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "address_2": "ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT..",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412961",
            "telephone_number": "978-683-4000",
            "fax_number": "978-946-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "address_2": "ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT..",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412961",
            "telephone_number": "978-683-4000",
            "fax_number": "978-946-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVITSKY",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "77664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Elena Stahl, MD
• Tara Lynn Staley, FNP
• Katherine Anne Stanton, MS, RD, LDN
• Stat Staffing L.L.C.
• Ann Stauble, LICSW
• Catherine Stavrakas, LMHC
• Sabine Elisabeth Stehle, MD
• Norman L Stein, M.D.
• Stepping Stone Counseling LLC
• Angela Sterling, MD

• Emergency Medicine Physician in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.