Stamatia V Destounis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

179213 Issued in NY

Practice address

170 Sawgrass Dr
Rochester, NY 14620-4648

Phone

(585) 442-2190

Fax

(585) 442-1837

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Diagnostic Radiology

Education

State University of Ny Upstate Medical University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth Wende Breast Care LLCGroup PAC ID 7113002569, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score

61.17 of 100Reported as group

Quality

22.35

Improvement activities

40

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 and National Provider Directory roles.

• Elizabeth Wende Breast Care LLC

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1720267982
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1871550293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-2190",
            "fax_number": "585-442-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SAWGRASS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204648",
            "telephone_number": "585-442-2190",
            "fax_number": "585-442-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTOUNIS",
        "first_name": "STAMATIA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "179213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01512358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadia Deskov, RPH
• Julie Anne Desmarteau, PA-C
• Elizabeth W Desmitt, RN
• Odessa D Despot
• Courtney Fay Destino, MS SPECIAL EDUCATION
• Michael Charles Detraglia, MD
• Jamie Dettman
• James Thomas Deuel, MD
• Kimberly J Deuel
• Ian Matthew Deutchki, M.D.

• Diagnostic Radiology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.