Individual provider Active NPI

Christos I Stavropoulos, M. D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
National Provider Identifier
1629022579
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
230175-1 Issued in NY
Practice address
39 Vestry St Apt 1a
New York, NY 10013-1767
Phone
(646) 483-0934
Fax
(866) 391-1540
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 230175-1 NY Primary

Addresses

Primary practice location

39 Vestry St Apt 1a
New York, NY 10013-1767

Mailing address

39 Vestry St Apt 1a
New York, NY 10013-1767
Phone (646) 483-0934

Other identifiers 1

IdentifierTypeStateIssuer
02585880MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20040602001657 NY Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Surgery 1557343662 Reassigns benefits to 3 organizations
I20210125002640 NJ Practitioner - Thoracic Surgery 1557343662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

2365 Boston Post Rd
Suite 103
Larchmont, NY 10538-3554
Phone (646) 483-0934

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3158

Hospital & facility affiliations

  • Visiting Nurse Association of Englewood, Inc Home health agency, Englewood, NJ, CCN 317022
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux18
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230175-1NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Jul 1, 2014 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Optum Medical Care, P.C. CurrentSince Jul 1, 2014 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jan 4, 2021 Accepting new patients
Englewood Hospital and Medical Center Past Accepting new patients
Rockland Cardiology PC PastSince Sep 1, 2013 Accepting new patients
Christos Stavropoulos, MD PC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Surgical Services of St Vincents PC Past Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

2 Journal Square Plz
Ste 2
Jersey City, NJ 07306
Phone (201) 963-7000

1 Journal Square Plz
Ste 2
Jersey City, NJ 07306
Phone (201) 216-3030

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

2365 Boston Post Rd
Ste 103
Larchmont, NY 10538
Phone (646) 483-0934

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

2 Crosfield Ave
Ste 407
West Nyack, NY 10994
Phone (845) 353-5050

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: christos.stavropoulos@direct.christhospital.md

Organizations & group practices 9

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 3

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1629022579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 VESTRY ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131767",
            "telephone_number": "646-483-0934",
            "fax_number": "866-391-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 VESTRY ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131767",
            "telephone_number": "646-483-0934",
            "fax_number": "866-391-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROPOULOS",
        "first_name": "CHRISTOS",
        "middle_name": "I",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "230175-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02585880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.