Individual provider Active NPI

Nicholas S. Papakonstantinou, M.D.

  • Orthopaedic Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1407045602
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301082055 Issued in MI
Practice address
1555 South Blvd E Ste 310
Rochester Hills, MI 48307-5624
Phone
(248) 215-8095
Fax
(248) 289-6907
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 57.012616 OH
Orthopaedic Surgery of the Spine Physician 207XS0117X NP082055 MI
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 4301082055 MI Primary

Addresses

Primary practice location

1555 South Blvd E Ste 310
Rochester Hills, MI 48307-5624

Mailing address

1555 South Blvd E Ste 310
Rochester Hills, MI 48307-5624
Phone (248) 215-8095

Other practice location 1

1135 W. University Dr.
Rochester, MI 48307
Phone (248) 651-3160 ext. 133

Other identifiers 1

IdentifierTypeStateIssuer
200922840MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20091110000512 MI Practitioner - Orthopedic Surgery 4587730726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Spine Surgeons PCGroup PAC ID 3779732466, 15 clinicians

Practice addresses (Care Compare)

1555 S Blvd E
Suite 310
Rochester Hills, MI 48307-5624
Phone (248) 215-8080

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Merit-based Incentive Payment System (MIPS)

Final score
26.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion292
Laminectomy or laminotomy (partial removal of spine bones)79
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.012616OHMDOrthopaedic Surgery Physician
NP082055MIMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Spine Surgeons PC Multi-Specialty CurrentSince Jan 1, 2014 Accepting new patients
Michigan Orthopaedic Spine Surgeons PC Orthopaedic Surgery of the Spine Past Accepting new patients
Rochester Hills Orthopaedics, P.C Multi-Specialty Past Accepting new patients

Locations

1555 South Blvd E
Ste 310
Rochester Hills, MI 48307
Phone (248) 215-8080

29624 Woodward Ave
Royal Oak, MI 48073
Phone (248) 215-8080

53950 Van Dyke Ave
Ste A
Shelby Township, MI 48316
Phone (248) 215-8095

Interoperability endpoints

  • Direct secure messaging: npapakonstantinou1143806@direct.hfhs.org

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 5

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1407045602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075624",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075624",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-6907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 W. University Dr.",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "48307",
            "country_code": "US",
            "telephone_number": "248-651-3160 x133",
            "fax_number": "248-650-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAKONSTANTINOU",
        "first_name": "NICHOLAS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "57.012616",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "NP082055",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301082055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200922840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.