Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. STAVROS STEFANOPOULOS MD
NPI 1205415106
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 07, 2021PECOS Enrolled
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-8000 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2026, Apr 4, 2025, Apr 7, 2021 (3 updates tracked since 2021).

About Dr. Stavros Stefanopoulos Md NPPES

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

DR. STAVROS STEFANOPOULOS MD (NPI 1205415106) is an individual student in an organized health care education/training program in Columbus, Ohio, licensed in Ohio (35.149202) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205415106
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. STAVROS STEFANOPOULOSCredential: MD
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address410 W 10th AveColumbus, OH 43210-1240
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateJuly 19, 20263 updates tracked since enumeration
NPPES CertifiedJuly 19, 2026
NPI 1205415106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in OH · 35.149202
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.
410 W 10TH AVE, Columbus, OH 43210

Secondary Practice Locations 2

Location 112300 McCracken RdGarfield Heights, OH 44125-2914 · Phone (216) 636-7563
Location 29500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-8542

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stavros Stefanopoulos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395144463
PECOS Enrollment IDI20250411001659
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

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.

Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210

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 Stavros Stefanopoulos's NPI number?

The NPI number for Stavros Stefanopoulos is 1205415106. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Stavros Stefanopoulos located?

Stavros Stefanopoulos practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8000.

What is Stavros Stefanopoulos's specialty?

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

Is Stavros Stefanopoulos enrolled in Medicare?

Yes. Stavros Stefanopoulos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stavros Stefanopoulos affiliated with any hospitals?

According to CMS data, Stavros Stefanopoulos is affiliated with Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Stavros Stefanopoulos was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.