Individual provider Active NPI

Stelios Rekkas, MD

  • Surgery Physician
  • Bradenton, FL
National Provider Identifier
1669767109
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
110761 Issued in FL
Practice address
232 Manatee Avenue East
Bradenton, FL 34208-1932
Phone
(941) 254-4957
Fax
(941) 254-4958
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 110761 FL Primary

Addresses

Primary practice location

232 Manatee Avenue East
Bradenton, FL 34208-1932

Mailing address

367 S. Gulph Rd
Att Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (775) 356-9393

Other identifiers 2

IdentifierTypeStateIssuer
006798500MedicaidFL
14M8ROtherFLBCBS

Other names 1

  • Dr. Stelio Rekkas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121005000149 FL Practitioner - General Surgery 1951550078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Specialty Physician Alliance LLCGroup PAC ID 8921473927, 27 clinicians

Practice addresses (Care Compare)

200 3Rd Ave W
Suite 110
Bradenton, FL 34205-8628
Phone (941) 746-3115

Hospital & facility affiliations

  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion1-10
Cataract surgery1-10
Colonoscopy1-10
Hernia repair (minimally invasive)14
Mastectomy1-10
Coronary angioplasty and stenting1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110761FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Specialty Physician Alliance, LLC Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

200 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 744-2700

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

232 Manatee Ave E
Bradenton, FL 34208
Phone (941) 254-4957

5317 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 254-4957

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 2

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669767109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATT IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "775-356-9393",
            "fax_number": "775-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MANATEE AVENUE EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081932",
            "telephone_number": "941-254-4957",
            "fax_number": "941-254-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKKAS",
        "first_name": "STELIOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "110761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006798500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14M8R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STELIO",
            "last_name": "REKKAS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.