DR. STEFANOS GIANNOPOULOS MD
NPI 1538717129
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since August 28, 2019PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 638-2698 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 22, 2021, Aug 28, 2019 (2 updates tracked since 2019).

About Dr. Stefanos Giannopoulos Md NPPES

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

DR. STEFANOS GIANNOPOULOS MD (NPI 1538717129) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538717129
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. STEFANOS GIANNOPOULOSCredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-8434
Mailing Address101 Nicolls RdStony Brook, NY 11794-8434 · (631) 638-2698
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 28, 2019
Last NPPES UpdateMarch 22, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1538717129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
101 NICOLLS RD, Stony Brook, NY 11794

Secondary Practice Location 1

Location 11700 Wheeling StAurora, CO 80045-7211 · Phone (720) 668-2819

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stefanos Giannopoulos 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 ID5799243317
PECOS Enrollment IDI20260814000240
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.

Medicare Billing Reassignment

Medicare enrollment records show Stefanos Giannopoulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
SUNY @ STONY BROOK, HSC, L19, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 114 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794

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 Stefanos Giannopoulos's NPI number?

The NPI number for Stefanos Giannopoulos is 1538717129. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Stefanos Giannopoulos located?

Stefanos Giannopoulos practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 638-2698.

What is Stefanos Giannopoulos's specialty?

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

Is Stefanos Giannopoulos enrolled in Medicare?

Yes. Stefanos Giannopoulos 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.

Which organization bills Medicare for Stefanos Giannopoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanos Giannopoulos reassigns Medicare benefits to Stony Brook Surgical Associates, University Faculty Practice Corporati (Stony Brook, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stefanos Giannopoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stefanos Giannopoulos was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.