Individual provider Active NPI

Stelios Alfred Koutsoumbelis, M.D.

  • Orthopaedic Surgery Physician
  • Plainview, NY
National Provider Identifier
1316258015
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
262962 Issued in NY
Practice address
651 Old Country Rd
Plainview, NY 11803-4938
Phone
(516) 681-8822
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 262962 NY Primary

Addresses

Primary practice location

651 Old Country Rd
Plainview, NY 11803-4938

Mailing address

651 Old Country Rd
Plainview, NY 11803-4938
Phone (516) 681-8822

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160819001441 NY Practitioner - Orthopedic Surgery 2466750104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northeastern Ohio University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Central Orthopedic Group L L PGroup PAC ID 3375432362, 23 clinicians

Practice addresses (Care Compare)

651 Old Country Rd
Plainview, NY 11803-4938
Phone (516) 681-8822

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion88
Laminectomy or laminotomy (partial removal of spine bones)27
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Central Orthopedic Group L L P Orthopaedic Surgery CurrentSince Aug 1, 2016 Accepting new patients
The Central Orthopedic Group L L P CurrentSince Aug 1, 2016 Accepting new patients
The Central Orthopedic Group L L P Orthopaedic Surgery Past Accepting new patients

Locations

5840 Merrick Rd
Massapequa, NY 11758
Phone (516) 681-8822

651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200

77 N Centre Ave
Ste 210
Rockville Centre, NY 11570
Phone (516) 681-8822

Interoperability endpoints

  • Direct secure messaging: skoutsoumbelis308345@nyumc.direct-ci.com
  • Direct secure messaging: stelios.koutsoumbelis@983.chartlogic.direct-ci.com

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1316258015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034938",
            "telephone_number": "516-681-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034938",
            "telephone_number": "516-681-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTSOUMBELIS",
        "first_name": "STELIOS",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "262962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.