Individual provider Active NPI

John Stamoulis, MD

  • Neurology Physician
  • Dartmouth, MA
National Provider Identifier
1861441891
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
219574 Issued in MA
Practice address
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 996-3991
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 219574 MA Primary

Addresses

Primary practice location

535 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Other identifiers 1

IdentifierTypeStateIssuer
11059962AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040114000113 MA Practitioner - Neurology 9537060546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

3119 Cranberry Hwy
Suite 5
East Wareham, MA 02538-4840
Phone (508) 759-5411

534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766

535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219574MAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 6, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group of Massachusetts Inc Neurology CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince May 6, 2019 Accepting new patients
Southcoast Physicians Group, Inc. Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 1, 2014 Accepting new patients
New Bedford Medical Associates PC Past Accepting new patients
New Bedford Medical Associates,PC Past Accepting new patients
Medx Neurodiagnostics Past Accepting new patients
Neurology Associates, P.C. Past Accepting new patients
Blue Ridge Neurology Associates P.C. Past Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

275 Allen St
#101
New Bedford, MA 02740
Phone (508) 992-9167

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

480 Hawthorn St
North Dartmouth, MA 02747
Phone (508) 973-9150

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

Interoperability endpoints

  • Direct secure messaging: jstamoulis236182@brownhealth.medalliesdirect.net
  • Direct secure messaging: john.stamoulis.1@2017.direct.athenahealth.com

Organizations & group practices 13

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 13

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1861441891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMOULIS",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "219574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11059962A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.