Individual provider Active NPI

Michail Vasilakis, M.D.

  • Neurological Surgery Physician
  • Marietta, OH
National Provider Identifier
1356570287
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35.130244 Issued in OH
Practice address
400 Matthew St Ste 101
Marietta, OH 45750-1656
Phone
(740) 568-4150
Fax
(740) 568-4151
NPI assigned
Jul 13, 2009
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 125.055814 IL
Neurological Surgery Physician 207T00000X 35.130244 OH Primary

Addresses

Primary practice location

400 Matthew St Ste 101
Marietta, OH 45750-1656

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other identifiers 1

IdentifierTypeStateIssuer
0210016MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michail.vasilakis@mmhs.medicity.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518001917 OH Practitioner - Neurosurgery 0547581498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

400 Matthew St
Suite 101
Marietta, OH 45750-1656
Phone (740) 568-4150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.17 of 100Reported as individual
Quality
66.22
Improvement activities
40
Cost
87.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion243
Laminectomy or laminotomy (partial removal of spine bones)109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.055814ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Dec 16, 2025 Accepting new patients
Marietta Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients
Selby General Hospital CurrentSince Dec 16, 2025 Accepting new patients
Marietta Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1356570287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 101",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-568-4150",
            "fax_number": "740-568-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILAKIS",
        "first_name": "MICHAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "125.055814",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.130244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210016",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michail.vasilakis@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 101",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.