Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Stassinopoulos, MD

Individual provider Surgery Physician · NPI 1659588846

Dr. Jerry Stassinopoulos, MD is a General Surgery in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2004, 22 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Michigan.

Years since qualifying
22
Trained at
Wayne State University School of Medicine
Licensed in
CO, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4201 Saint Antoine St 6-UHC
Detroit, MI 48201-2153
Phone: (313) 577-5009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 — (719) 364-6487

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301084022 (MI)
Surgery Physician Taxonomy 208600000X · Licence DR.0062274 (CO)

Record details

NPI number1659588846
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESJune 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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