James Stathakios Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301063353 Issued in MI

Practice address

3400 Fleckenstein Rd
Suite 1
Flint, MI 48507-3042

Phone

(810) 877-7370

Fax

(810) 230-9338

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Physical Medicine and Rehabilitation

Education

Wayne State University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Pain Specialists, PLLCGroup PAC ID 6507099207, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Flint Hospital, Flint, MI, CCN 230141
• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Merit-based Incentive Payment System (MIPS)

Final score

23.32 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

77.73

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Saginaw, MI
  • NPI 1013331180
  Medicare reassignment Care Compare group NPD
• Comprehensive Pain Specialists, PLLC

  • Interventional Pain Medicine Physician
  • Midland, MI
  • NPI 1558903294
  NPD
• BPS-Sar PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Flint, MI
  • NPI 1659664092
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Flint

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1902894512
  Care Compare affiliation
• Memorial Hospital

  dba Memorial Healthcare

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1053351247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073042",
            "telephone_number": "810-877-7370",
            "fax_number": "810-230-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073042",
            "telephone_number": "810-877-7370",
            "fax_number": "810-230-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHAKIOS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MI",
            "license": "JS063353",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301063353",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301063353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103517420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krysta Marie Starr, RN
• Stars Reliable Care LLC
• David Stashko
• Stat Care PC
• Stat Emergency Medical Services Inc
• Kelly Marie Statler
• Shannon Suzanne Stauffer, MSW, LLMSW
• Rebecca Sue Steckroth
• John Steele, MA
• Sagi Steele

• Specialist in Flint, MI
• Providers in Flint, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.