Stelios Vantelas, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D80768 Issued in MD

Practice address

10102 Country Club Rd SE
Cumberland, MD 21502-8339

Phone

(301) 777-2285

Fax

(301) 777-5832

NPI assigned

Feb 14, 2011

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comptroller of Maryland Central Payroll Bureau

  dba Eastern Shore Hospital Center

  • Psychiatric Hospital
  • Cambridge, MD
  • NPI 1841281680
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1790082543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 COUNTRY CLUB RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028339",
            "telephone_number": "301-777-2285",
            "fax_number": "301-777-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10102 COUNTRY CLUB RD SE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215028339",
            "telephone_number": "301-777-2285",
            "fax_number": "301-777-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTELAS",
        "first_name": "STELIOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D80768",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D80768",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D80768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Valko, MS, RDN, LDN
• Wendye C Vanbrakle, M.D.
• Valerie F. Vanhollen, LCSW-C
• Gale Lynn Vanhouten, LMSW
• Natashia Marie Vanslyke, PA-C
• Holly Veith, MSW, LGSW
• Vik Poonai M D PC
• Romulo G. Villanueva, M.D.
• Clarence J Vincent, M.D.
• Karen Viney

• Psychiatry Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.