Individual provider Active NPI

John Steven Papakonstantinou, MD

  • Orthopaedic Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1679722888
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301087822 Issued in MI
Practice address
1555 South Blvd E Ste 310
Rochester Hills, MI 48307-5624
Phone
(248) 215-8095
Fax
(248) 289-6907
NPI assigned
Sep 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301087822 MI Primary

Addresses

Primary practice location

1555 South Blvd E Ste 310
Rochester Hills, MI 48307-5624

Mailing address

1555 South Blvd E Ste 310
Rochester Hills, MI 48307-5624
Phone (248) 215-8095

Other practice location 1

1135 W. University Dr
Suite 100
Rochester, MI 48307
Phone (248) 651-3160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120801000032 MI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 8123284486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Orthopaedic Spine Surgeons PCGroup PAC ID 3779732466, 15 clinicians
Northsport Physical Therapy and Rehabilitation P CGroup PAC ID 5294902508, shared by 2 NPIs, 43 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

1555 S Blvd E
Suite 310
Rochester Hills, MI 48307-5624
Phone (248) 215-8080

1622 Dickerson Rd
Gaylord, MI 49735-9206

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Spine Surgeons PC Orthopaedic Surgery CurrentSince Jan 1, 2015 Accepting new patients
Rochester Hills Orthopaedics, P.C Past Accepting new patients

Locations

1555 South Blvd E
Ste 310
Rochester Hills, MI 48307
Phone (248) 215-8080

53950 Van Dyke Ave
Ste A
Shelby Township, MI 48316
Phone (248) 215-8095

Interoperability endpoints

  • Direct secure messaging: jpapakonstantinou1143804@direct.hfhs.org

Organizations & group practices 2

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 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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1679722888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075624",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 310",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075624",
            "telephone_number": "248-215-8095",
            "fax_number": "248-289-6907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 W. University Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "48307",
            "country_code": "US",
            "telephone_number": "248-651-3160",
            "fax_number": "248-651-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPAKONSTANTINOU",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301087822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.