Individual provider Active NPI

Christos Sidiropoulos, M.D.

  • Neurology Physician
  • East Lansing, MI
National Provider Identifier
1972794774
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301089895 Issued in MI
Practice address
804 Service Rd # A217
East Lansing, MI 48824-7015
Phone
(517) 353-8122
Fax
(517) 432-3713
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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 4301089895 MI Primary

Addresses

Primary practice location

804 Service Rd # A217
East Lansing, MI 48824-7015

Mailing address

804 Service Rd # A201
East Lansing, MI 48824-7015
Phone (517) 884-2976

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
I20130201000385 MI Practitioner - Neurology 2163676966 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

804 Service Rd
East Lansing, MI 48824-7015
Phone (517) 353-8122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089895MIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University Neurology CurrentSince Jan 1, 2017 Accepting new patients
Henry Ford Health System CurrentSince Jan 1, 2013 Accepting new patients
Henry Ford Health System Neurology CurrentSince Jan 1, 2013 Accepting new patients
Michigan State University Current Accepting new patients
Michigan State University CurrentSince Jan 1, 2017 Accepting new patients
Michigan State University Current Accepting new patients
Bronson Methodist Hospital Neurology CurrentSince Oct 2, 2017 Accepting new patients
Msu Health Care Inc CurrentSince Jul 1, 2020 Accepting new patients
Henry Ford Health System Current Accepting new patients
Capital Area Pathologists, PC Current Accepting new patients
Msu Health Care Inc. CurrentSince Jul 1, 2020 Accepting new patients
Michigan State University Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

804 Service Rd
#A217
East Lansing, MI 48824
Phone (517) 353-8122

804 Service Rd
Ste A217
East Lansing, MI 48824
Phone (517) 353-8122

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

804 Service Rd
Rm A217
East Lansing, MI 48824
Phone (517) 353-8122

804 Service Rd
Ste A109F
East Lansing, MI 48824

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

Interoperability endpoints

  • Direct secure messaging: christos.sidiropoulos.1@25394.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1972794774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD # A201",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-884-2976",
            "fax_number": "517-432-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD # A217",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-8122",
            "fax_number": "517-432-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIROPOULOS",
        "first_name": "CHRISTOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301089895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.