Active NPI
Stefan Nicholas Papandreou, DO
- Internal Medicine Physician
- Taylor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101027517
- Practice address
- 10000 Telegraph Rd
Taylor, MI 48180-3330 - Phone
- (313) 295-5000
- NPI assigned
- Jun 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101027517 | MI | Primary |
Addresses
Primary practice location
10000 Telegraph Rd
Taylor, MI 48180-3330
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spapandreou615915@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231002000696 | OH | Practitioner - Internal Medicine | 4385098987 | Reassigns benefits to 1 organization |
| I20231006001474 | MI | Practitioner - Internal Medicine | 4385098987 | Reassigns benefits to 1 organization |
| I20240604000765 | OK | Practitioner - Internal Medicine | 4385098987 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ou Health Partners IncUsacs Observation Medicine Services of Oklahoma, LLC
Practice addresses (Care Compare)
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
- Ascension St John Jane Phillips
- Duncan Regional Hospital, Inc
- Stillwater Medical Center
- Norman Regional
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.26 of 100
- Quality
- 53.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101027517 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies HSP Oklahoma LLC | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients |
Locations
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Interoperability endpoints
- spapandreou615915@direct.beaumont.edu
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
OK
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
MI
-
- Clinic/Center
- Oklahoma City, OK
- NPI 1730754888
-
- Rural Health Clinic/Center
- Eastern, KY
- NPI 1164129599
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
Hospital
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1154946549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 TELEGRAPH RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803330",
"telephone_number": "313-295-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPANDREOU",
"first_name": "STEFAN",
"middle_name": "NICHOLAS",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-11",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101027517",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spapandreou615915@direct.beaumont.edu",
"affiliation": "N",
"address_1": "10000 Telegraph Rd",
"city": "Taylor",
"state": "MI",
"country_code": "US",
"postal_code": "481803330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.