Vasilios Stambolis, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME56039 Issued in FL

Practice address

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Phone

(941) 917-6574

Fax

(941) 917-4278

NPI assigned

Dec 1, 2006

Last updated

Feb 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, FL2 enrollments

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 2

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.

• Regional Rehab Associates PA

  dba Jaffe Sports Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
  • NPI 1073714010
  Medicare reassignment NPD
• SMH Physician Services Inc

  dba First Physicians Group

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292
  Medicare reassignment NPD
• Integrative Rehabmedicine SC

  dba Medlux Rehab & Wellness

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Rockford, IL
  • NPI 1902014285
  Medicare reassignment NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1982772471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-6574",
            "fax_number": "941-917-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26W171 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601876078",
            "country_code": "US",
            "telephone_number": "630-909-7000",
            "fax_number": "630-909-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAMBOLIS",
        "first_name": "VASILIOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME56039",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.065621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065621",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Luke Stahursky
• Janell Stallworth, LMHC
• Jenna Stalnaker, OTR/L
• Kelsey Stalvey, PHARMD
• Stephen Stambler
• Melissa Marie Stamos
• Summer Ashlee Stanfield
• Kimberky Stanford, RN, BSBA, QMHP
• Gina Stangel, CRNA
• Eric J Stangl, PT

• Physical Medicine & Rehabilitation Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.