JOHN A STOUKIDES (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1639176357

JOHN A STOUKIDES (MD) is a healthcare provider. based in East providence, Rhode Island. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD07851 (RI). The NPI Number for JOHN A STOUKIDES (MD) is 1639176357

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JOHN A STOUKIDES (MD)
NPI
1639176357
Phone
(401) 231-0450
Address
1018 WATERMAN AVE
Enumeration Date
7 July 2005
Last Update Date
15 January 2019

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4016216464
Graduation Year
1989 (37 years ago)
PAC ID
2961454053
Group Practice PAC ID
0547492696
Professional Enrollment ID
I20050405000071
Address ID
RI029083500NO700XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

55 GERIATRIC MEDICINE in RI

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Provider Addresses for JOHN A STOUKIDES (MD)

  • 1018, Waterman Avenue, Leonard Corner, East Providence, Providence County, Rhode Island, 02914, United States

    EAST PROVIDENCE, RI 02914

    Phone: (401) 231-0450

    Fax: (401) 233-2387

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $5,550.

Total Amount is formed as General ($0) + Research ($5,550) + Ownership ($0) = $5,550.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Eli Lilly and Company ($5,550).

Total Amount

$5,550

General + Research + Ownership

Payments

2

Total payment records

General Amount

$0

General payments

Research Amount

$5,550

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Eli Lilly and Company$5,550
View all Open Payments →|Open Payments Risk Radar →

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: 2005-04-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050405000071IGeriatric MedicineRITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes25247$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9348$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5954$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5755$0
99238Hospital discharge day management, 30 minutes or less5652$0
View full utilization report →

Insurance plans in this area (ZIP 02914)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547492696View full group profile
NameSpecialtyState
Medical Oncology, Internal MedicineRI
Interventional Cardiology, Cardiovascular Disease (Cardiology)RI
Cardiovascular Disease (Cardiology), Interventional CardiologyRI
Thoracic SurgeryRI
Mental Health CounselorRI
-RI
Orthopedic SurgeryRI
Mental Health CounselorRI
H E M A T O L O G Y/ O N C O L O G YRI
Physician AssistantRI

Reviews

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Frequently asked questions

What is the registry number for JOHN A STOUKIDES (MD)?
The registry entry for JOHN A STOUKIDES (MD) shows NPI 1639176357.
Is JOHN A STOUKIDES (MD) currently accepting referrals based on NPI status?
Registry metadata lists JOHN A STOUKIDES (MD) as active.
What type of care does JOHN A STOUKIDES (MD) provide?
JOHN A STOUKIDES (MD)'s profile centers on Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is JOHN A STOUKIDES (MD) tied to East Providence, Rhode Island?
If you are local to East Providence, Rhode Island, JOHN A STOUKIDES (MD) may be relevant to your search.
Why is information missing for JOHN A STOUKIDES (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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