Active NPI
Costas Stavrakis, D.O
- Diagnostic Radiology Physician
- Cooperstown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 291827
- Practice address
- 1 Atwell Rd
Cooperstown, NY 13326 - Phone
- (607) 547-3456
- NPI assigned
- Jun 10, 2012
- Last updated
- Jan 31, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | 291827 | NY | Primary |
Addresses
Primary practice location
1 Atwell Rd
Cooperstown, NY 13326
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 547-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS17838 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701
1300 Ave P
Brooklyn, NY 11229-1106
Phone (718) 376-1004
1300 Franklin Ave
Garden City, NY 11530-1760
13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923
145 E 32 St
New York, NY 10016-6055
Phone (212) 263-3210
145 E 32ND St
FL 2
New York, NY 10016-6055
Phone (212) 263-3210
1486 Deer Park Ave
Unit a
North Babylon, NY 11703-1214
Phone (631) 442-3200
153 Bay 26TH St
Brooklyn, NY 11214-4938
Phone (718) 630-7000
1530 Front St
East Meadow, NY 11554-2265
Phone (516) 324-7500
159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300
160 E 34TH St
New York, NY 10016-4744
Phone (212) 263-7300
16244 S Military TRL
560 NYU Langone Cardiology Delray Bea
Delray Beach, FL 33484-6532
Phone (561) 495-7787
1714 SW 17TH St
Suite 300
Ocala, FL 34471-1227
Phone (352) 274-9565
180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900
2230 SW 19TH Ave Rd
Ocala, FL 34471-1391
Phone (352) 237-4133
22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433
2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742
259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600
285 Sills Rd
East Patchogue, NY 11772-4869
Phone (631) 475-2858
3315 Commercial Way
Spring Hill, FL 34606-2699
Phone (325) 688-5860
4161 Kissena Blvd
Flushing, NY 11355-3181
Phone (718) 353-7900
530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.76 of 100
- Quality
- 82.62
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 79.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291827 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical City LLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| West Hernando Diagnostic & Mr Center | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Florida Diagnostic Imaging Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Coral Gables MRI Inc | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Partners Imaging Center of Sarasota LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lakes Radiology Inc | Diagnostic Radiology | Current | Accepting new patients |
| DRH & Associates, Inc | Current | Accepting new patients | |
| West Hernando Diagnostic and M.R. Center, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Ocala Family Medical Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Howard John Simon MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging Specialists LLC | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| MRI Associates of St Pete Inc | Current | Accepting new patients | |
| University Diagnostic Institute Winter Park PLLC | Past | Accepting new patients | |
| Radiology Imaging Specialists LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1203 SE 8th Ave
Cape Coral, FL 33990
Phone (239) 214-9003
7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100
208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888
1714 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 274-9565
2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133
2100 Creighton Rd
Pensacola, FL 32504
Phone (850) 332-4414
1250 S Tamiami Trl
Ste 103
Sarasota, FL 34239
Phone (941) 894-3332
3315 Commercial Way
Spring Hill, FL 34606
Phone (325) 688-5860
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- cstavrakis229798@nyumc.direct-ci.com
Organizations & group practices 19
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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Family Medicine Physician
- Ocala, FL
- NPI 1871589192
Diagnostic Radiology
-
dba Carefirst Imaging
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1952763971
-
- Diagnostic Radiology Physician
- Spring Hill, FL
- NPI 1831183607
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- New York, NY
- NPI 1932768934
-
- Diagnostic Radiology Physician
- Sarasota, FL
- NPI 1548205271
-
dba Simonmed Imaging Tampa
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1477830818
NY
-
dba Simonmed Imaging
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
NY
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Coral Gables, FL
- NPI 1336236363
-
dba Houston MRI & Diagnostic Imaging
- Radiology Clinic/Center
- Sugar Land, TX
- NPI 1801431879
-
dba Carefirst Imaging
- Diagnostic Radiology Physician
- Panama City, FL
- NPI 1225096936
-
dba Pensacola Open MRI
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1235197930
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NYU Langone Hospitals - Suffolk
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
dba NYU Langone Hospital Long Island
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
-
dba NYU Langone Hospital - Suffolk
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1578825196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "133260725",
"telephone_number": "607-547-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATWELL RD",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVRAKIS",
"first_name": "COSTAS",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-10",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "291827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OS17838",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.