Individual provider Active NPI

Costas Stavrakis, D.O

  • Diagnostic Radiology Physician
  • Cooperstown, NY
National Provider Identifier
1578825196
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
291827 Issued in NY
Practice address
1 Atwell Rd
Cooperstown, NY 13326
Phone
(607) 547-3456
NPI assigned
Jun 10, 2012
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OS17838OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180213001841 NY Practitioner - Diagnostic Radiology 5597036608 Reassigns benefits to 5 organizations
I20221129003386 FL Practitioner - Diagnostic Radiology 5597036608 Reassigns benefits to 5 organizations

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
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Radiology Imaging Specialists LLCGroup PAC ID 0244529030, 17 clinicians
Ocala Family Medical Center IncGroup PAC ID 6608865290, 60 clinicians

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 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
82.76 of 100Reported as group
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

LicenseStateTypeSpecialty
291827NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical City LLC CurrentSince Oct 2, 2025 Accepting new patients
New York University CurrentSince Apr 1, 2018 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Jul 25, 2023 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
New York University CurrentSince Apr 1, 2018 Accepting new patients
Coral Gables MRI Inc CurrentSince Oct 2, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Partners Imaging Center of Sarasota LLC Diagnostic Radiology CurrentSince Mar 10, 2023 Accepting new patients
Lakes Radiology Inc Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
DRH & Associates, Inc CurrentSince Aug 1, 2025 Accepting new patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology CurrentSince Jul 25, 2023 Accepting new patients
Ocala Family Medical Center, Inc. Diagnostic Radiology CurrentSince Feb 24, 2024 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology CurrentSince Jan 17, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
MRI Associates of St Pete Inc CurrentSince Sep 24, 2024 Accepting new patients
University Diagnostic Institute Winter Park PLLC Past Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology PastSince Jun 6, 2021 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

  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.