Provider Type Icon

MR. CHRISTODULOS STEFANATOS STAVENS M.D. NPI 1659457232


NPI Information

NPI: 1659457232
Provider Name: MR. CHRISTODULOS STEFANATOS STAVENS, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
100 MALLARD CREEK RD
SUITE 150
LOUISVILLE, KY
ZIP 40207
Phone: (502) 589-7907
Get Directions

MR. Christodulos Stefanatos Stavens, M.D. is a cardiovascular disease internal medicine in Louisville, KY with 48 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MR. Christodulos Stefanatos Stavens, M.D. NPI is 1659457232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 MALLARD CREEK RD
SUITE 150
LOUISVILLE, KY
ZIP 40207-194
Phone: (502) 589-7907
Fax: (502) 589-1319

The NPI 1659457232 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 6/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease01035475AINDIANANo
2207RC0001XInternal MedicineClinical Cardiac Electrophysiology24509KENTUCKYNo
3207RI0011XInternal MedicineInterventional Cardiology24509KENTUCKYNo
4207RC0000XInternal MedicineCardiovascular Disease24509KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11052057OTHERPASSPORT HEALTH PLAN
264245095MEDICAIDKENTUCKY
3000000052133OTHERKENTUCKYANTHEM BCBS
4060052924OTHERKENTUCKYRAILROAD MEDICARE
5060053877OTHERINDIANARAILROAD MEDICARE/MADISON
6687915OTHERFIRST HEALTH
7200040930MEDICAIDINDIANA
825-00167OTHERKENTUCKYUNITED HEALTHCARE
9299856OTHERFEDERAL BLACK LUNG PROGRA
10415633POTHERKENTUCKYSIHO HEALTH PLAN
11060052921OTHERKENTUCKYRAILROAL MEDICARE/TVILLE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.