Individual provider Active NPI

Michael Clifton Kapsokavathis, DO

  • Orthopaedic Surgery of the Spine Physician
  • Birmingham, MI
National Provider Identifier
1568664134
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
242354 Issued in MA
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

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000749 MI Practitioner - NeurosurgeryPractitioner - Orthopedic Surgery 6305030545 Reassigns benefits to 1 organization

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
Kapsokavathis LLCGroup PAC ID 5193948487, 2 clinicians

Practice addresses (Care Compare)

36800 Woodward Ave
Suite 230
Bloomfield Hills, MI 48304-0917
Phone (248) 835-4610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion22
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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.