Active NPI
Stephen M Davakis, M.D.
- Internal Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-057108
- Practice address
- 4895 Olentangy River Rd
Suite 250
Columbus, OH 43214-1926 - Phone
- (614) 267-8371
- Fax
- (614) 262-0005
- NPI assigned
- Dec 29, 2005
- 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 | 35-057108 | OH | Primary |
Addresses
Primary practice location
4895 Olentangy River Rd
Suite 250
Columbus, OH 43214-1926
Mailing address
4895 Olentangy River Rd
Suite 250
Columbus, OH 43214-1926
Phone (614) 267-8371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0747142 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040817000006 | OH | Practitioner - Internal Medicine | 2365415577 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ohio State University College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665
4885 Olentangy River Rd
Columbus, OH 43214-1953
4885 Olentangy River Rd
Columbus, OH 43214-1993
4895 Olentangy River Rd
Columbus, OH 43214-1185
625 Africa Rd
Westerville, OH 43082-0002
8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923
Hospital & facility affiliations
- National Church Residences Home and Community Serv
- Riverside Methodist Hospital
- Grant Medical Center
- James Cancer Hospital & Solove Research Institute
- Dublin Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-057108 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
655 Africa Rd
Westerville, OH 43082
Interoperability endpoints
- sdavakis18997@copcp.medicity.net
Organizations & group practices 3
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
- Westerville, OH
- NPI 1194705194
OH
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
Hospital
-
- Home Health Agency
- Dublin, OH
- NPI 1972609238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1295712412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 OLENTANGY RIVER RD",
"address_2": "SUITE 250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141926",
"telephone_number": "614-267-8371",
"fax_number": "614-262-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 OLENTANGY RIVER RD",
"address_2": "SUITE 250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141926",
"telephone_number": "614-267-8371",
"fax_number": "614-262-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVAKIS",
"first_name": "STEPHEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-057108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0747142",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.