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STAVROULA KANELLOPOULOS PA-C
NPI 1013751072
Physician Assistant in New York, NY

Active since June 24, 2024PECOS Enrolled
177 FORT WASHINGTON AVE, NEW YORK, NY 10032(646) 317-7445 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, May 9, 2025, Jun 24, 2024 (3 updates tracked since 2024).

About Stavroula Kanellopoulos Pa-c NPPES

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

STAVROULA KANELLOPOULOS PA-C (NPI 1013751072) is an individual physician assistant in New York, New York and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013751072
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTAVROULA KANELLOPOULOSCredential: PA-C
Location Address177 FORT WASHINGTON AVENew York, NY 10032-3733
Mailing Address20415 23rd AveBayside, NY 11360-1319 · (917) 617-0178
Phone(646) 317-7445
Sole ProprietorYes
Enumeration DateJune 24, 2024
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1013751072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
177 FORT WASHINGTON AVE, New York, NY 10032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stavroula Kanellopoulos Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHADY AHMED PT, DPT
Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-3280
BRIGGITTE PAOLA ALCIVAR FNP
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (347) 215-1922
MRS. CLAUDIA ANN GHIGLIOTTY OTR
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
New York County (212) 305-8352
BRITTANY SHINN MS OTR/L
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-8352
NATASHA LOUISA COLEMAN
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5970
KIMBERLY BUKOSKI PA-C
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (203) 218-4748
ANDREW ANZALONE
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
New York County (212) 305-6262
DANIELLE NICOLE CRUZ PHYSICIAN ASSISTANT
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2500

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 Stavroula Kanellopoulos's NPI number?

The NPI number for Stavroula Kanellopoulos is 1013751072. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Stavroula Kanellopoulos located?

Stavroula Kanellopoulos practices at 177 Fort Washington Ave, New York, NY 10032. The listed phone number is (646) 317-7445.

What is Stavroula Kanellopoulos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stavroula Kanellopoulos enrolled in Medicare?

Yes. Stavroula Kanellopoulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stavroula Kanellopoulos was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.