STAVROULA IKONOMAKOU-NIKOLAIDIS (MD) – Anesthesiology Physician, NPI 1326037987
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,825 ANESTHESIOLOGY in PA
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Provider Addresses for STAVROULA IKONOMAKOU-NIKOLAIDIS (MD)
2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States
PHILADELPHIA, PA 191291302
Phone: (215) 707-3326
Fax: (215) 707-8028
Type: Mailing
Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States
PHILADELPHIA, PA 191404105
Phone: (215) 707-3326
Fax: (215) 707-8028
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765084105
Phone: (254) 724-2111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $673.
Total Amount is formed as General ($673) + Research ($0) + Ownership ($0) = $673.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABIOMED ($510).
Total Amount
$673
General + Research + Ownership
Payments
7
Total payment records
General Amount
$673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $510 |
| Abbott Laboratories | $148 |
| Merck Sharp & Dohme LLC | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160216002575 | I | Anesthesiology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 26 | 26 | $0 |
| 93312 | Ultrasound of heart with probe in esophagus, with report | 15 | 15 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 14 | 14 | $0 |
| 93325 | Ultrasound of heart with color-depicted blood flow, rate and valve function | 14 | 14 | $0 |
| 93320 | Ultrasound of heart blood flow, valves and chambers | 13 | 13 | $0 |
Insurance plans in this area (ZIP 19129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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