Active NPI
Michael Clifton Kapsokavathis, DO
- Orthopaedic Surgery of the Spine Physician
- Birmingham, MI
National Provider Identifier
1568664134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 242354
- Practice address
- 700 N Old Woodward Ave
Suite 150
Birmingham, MI 48009-1322 - Phone
- (248) 206-2100
- Fax
- (586) 279-5864
- NPI assigned
- Jun 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101016538 | MI | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 242354 | MA | Primary |
Addresses
Primary practice location
700 N Old Woodward Ave
Suite 150
Birmingham, MI 48009-1322
Mailing address
1268 Southfield Rd
Birmingham, MI 48009-3082
Phone (248) 206-2100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36800 Woodward Ave
Suite 230
Bloomfield Hills, MI 48304-0917
Phone (248) 835-4610
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 22 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- mkapsokavathis63209@direct.hfhs.org
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.
-
- Orthopaedic Surgery of the Spine Physician
- Birmingham, MI
- NPI 1053730523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1568664134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 SOUTHFIELD RD",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480093082",
"telephone_number": "248-206-2100",
"fax_number": "586-279-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N OLD WOODWARD AVE",
"address_2": "SUITE 150",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480091322",
"telephone_number": "248-206-2100",
"fax_number": "586-279-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPSOKAVATHIS",
"first_name": "MICHAEL",
"middle_name": "CLIFTON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101016538",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MA",
"license": "242354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.