Konstandina Stavropoulos, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

125.083838 Issued in IL

Practice address

4295 Spruce Hill LN
Bloomfield Hills, MI 48301-3725

Phone

(248) 520-2187

NPI assigned

Mar 27, 2024

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kstavropoulos170958@uihealth.direct-ci.com

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1912757212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 SPRUCE HILL LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 SPRUCE HILL LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013725",
            "telephone_number": "248-520-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROPOULOS",
        "first_name": "KONSTANDINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.083838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Elizabeth Briarbank Home for the Aged
• Stacey J Francis PLLC
• Douglas Wayne Stanley, MSW, LMSW. FAODP
• Rebecca Leigh Starks, PMHNP-BC, RN
• Andrea Starostanko, M.D.
• Efthemia Steele, RPH
• Timothy V Steimel, D.D.S.
• Tracey Stein, MA, TLLP
• Esther Bettina Steinberg, LMSW
• Russell T Steinman, M.D.

• Anesthesiology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.