Active NPI
John J Stavrakos, M.D.
- Internal Medicine Physician
- Deerfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36098718
- Practice address
- 720 Osterman Ave
Suite 103
Deerfield, IL 60015-4471 - Phone
- (847) 945-3030
- Fax
- (847) 945-3033
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 36098718 | IL | Primary |
Addresses
Primary practice location
720 Osterman Ave
Suite 103
Deerfield, IL 60015-4471
Mailing address
720 Osterman Ave
Ste 103
Deerfield, IL 60015-4339
Phone (847) 945-3335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
720 Osterman Ave
Suite 103
Deerfield, IL 60015-4339
Phone (847) 945-3030
Hospital & facility affiliations
- Admire Home Healthcare Agency, Inc
- Guardian Home Health Care, LLC
- Residential Home Health
- Northshore University Healthsystem - Evanston Hospital
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.73 of 100
- Quality
- 85.47
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36098718 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deerfield Medical Associates,S.C. | Internal Medicine | Current | Accepting new patients |
Locations
720 Osterman Ave
Ste 103
Deerfield, IL 60015
Phone (847) 374-1300
Interoperability endpoints
- deerfieldmedicalassociates.johnjstavrakos@133396.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Deerfield, IL
- NPI 1881620151
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Skokie, IL
- NPI 1518972256
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- Home Health Agency
- Northfield, IL
- NPI 1366439655
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- Home Health Agency
- Northbrook, IL
- NPI 1114673787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1215966684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 OSTERMAN AVE",
"address_2": "STE 103",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154339",
"telephone_number": "847-945-3335",
"fax_number": "847-945-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 OSTERMAN AVE",
"address_2": "SUITE 103",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600154471",
"telephone_number": "847-945-3030",
"fax_number": "847-945-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVRAKOS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "36098718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.