Individual provider Active NPI

Stavros Nicholas Stavropoulos, M.D.

  • Gastroenterology Physician
  • Bellmore, NY
National Provider Identifier
1679657019
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
205824 Issued in NY
Practice address
2750 Merrick Rd
Bellmore, NY 11710-5720
Phone
(516) 992-5626
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 205824 NY Primary

Addresses

Primary practice location

2750 Merrick Rd
Bellmore, NY 11710-5720

Mailing address

40 Acorn Ponds Dr
Roslyn, NY 11576-2818
Phone (212) 721-3029

Other identifiers 1

IdentifierTypeStateIssuer
02227961MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 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
I20041130000172 NY Practitioner - Gastroenterology 5799740957 Reassigns benefits to 3 organizations
I20220902002893 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 5799740957

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Columbia University College of Physicians and Surgeons, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2750 Merrick Rd
Bellmore, NY 11710-5720
Phone (516) 992-5626

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205824NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Gastroenterology CurrentSince Oct 1, 2018 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Gastroenterology Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Mar 10, 2024 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Mar 10, 2024 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Mar 10, 2024 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
The Trustees of Columbia in the City of Ny Digestive and Liver Dise Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Archbold Medical Group, Inc. Past Accepting new patients
Winthrop Community Medical Affiliates PC Gastroenterology Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2750 Merrick Rd
Bellmore, NY 11710
Phone (516) 409-2000

1300 Franklin Ave
Ste Ul
Garden City, NY 11530
Phone (516) 663-2224

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

222 Station Plz N
Ste 428
Mineola, NY 11501
Phone (516) 663-2066

222 Station Plz N
Ste 428E
Mineola, NY 11501
Phone (516) 663-2066

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1679657019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ACORN PONDS DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762818",
            "telephone_number": "212-721-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105720",
            "telephone_number": "516-992-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROPOULOS",
        "first_name": "STAVROS",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "205824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02227961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.