MR. STEPHEN JAMES PETROPOULOS MB, BCH, BAO
NPI 1154218717
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 18, 2025PECOS Enrolled
3400 SPRUCE STREET, PHILADELPHIA, PA 19104(215) 662-2250(215) 615-3995 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2025, Jun 18, 2025 (2 updates tracked since 2025).

About Mr. Stephen James Petropoulos Mb, Bch, Bao NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. STEPHEN JAMES PETROPOULOS MB, BCH, BAO (NPI 1154218717) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154218717
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. STEPHEN JAMES PETROPOULOSCredential: MB, BCH, BAO
Location Address3400 SPRUCE STREETPhiladelphia, PA 19104
Mailing Address3400 Spruce StreetPhiladelphia, PA 19104 · (215) 662-2250 · Fax (215) 615-3995
Fax(215) 615-3995
Sole ProprietorNo
Enumeration DateJune 18, 2025
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPI 1154218717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE STREET, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Stephen James Petropoulos Mb, Bch, Bao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Petropoulos's NPI number?

The NPI number for Stephen Petropoulos is 1154218717. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Stephen Petropoulos located?

Stephen Petropoulos practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (215) 662-2250.

What is Stephen Petropoulos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Petropoulos enrolled in Medicare?

Yes. Stephen Petropoulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Petropoulos was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.