Organization Active NPI

Kapsokavathis LLC

  • Orthopaedic Surgery of the Spine Physician
  • Birmingham, MI
National Provider Identifier
1053730523
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
5101016538 Issued in MI
Legal business name
KAPSOKAVATHIS LLC
Practice address
700 N Old Woodward Ave
Suite 150
Birmingham, MI 48009-1322
Phone
(248) 206-2100
Fax
(248) 206-2101
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Michael C Kapsokavathis, DONPI 1568664134
Title
Surgeon
Phone
(248) 206-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 5101016538 MI Primary

Addresses

Primary practice location

700 N Old Woodward Ave
Suite 150
Birmingham, MI 48009-1322

Mailing address

1268 Southfield Rd
Birmingham, MI 48009-3082
Phone (248) 206-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140513001548 MI Part B Supplier - Clinic/Group Practice 5193948487 Receives reassigned benefits from 2 practitioners
Practice locations: Bloomfield Hills, MI

National Provider Directory

National Provider Directory

Locations

700 N Old Woodward Ave
Ste 150
Birmingham, MI 48009
Phone (248) 206-2100

36800 Woodward Ave
Ste 230
Bloomfield Hills, MI 48304
Phone (248) 206-2100

12150 30 Mile Rd
Ste 150
Washington Township, MI 48095
Phone (248) 835-4610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1053730523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 SOUTHFIELD RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093082",
            "telephone_number": "248-206-2100",
            "fax_number": "248-206-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N OLD WOODWARD AVE",
            "address_2": "SUITE 150",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091322",
            "telephone_number": "248-206-2100",
            "fax_number": "248-206-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPSOKAVATHIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "KAPSOKAVATHIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "248-206-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "5101016538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.