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PANOS ALEXIS STATHOPOULOS M.D.
NPI 1689036279
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since March 23, 2016PECOS Enrolled
15 YORK STREET, NEUROLOGY DPT, YALE, NEW HAVEN, CT 06520(203) 688-4242 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Panos Alexis Stathopoulos M.d. NPPES

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

PANOS ALEXIS STATHOPOULOS M.D. (NPI 1689036279) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689036279
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePANOS ALEXIS STATHOPOULOSCredential: M.D.
Location Address15 YORK STREET, NEUROLOGY DPT, YALENew Haven, CT 06520-8018
Mailing Address15 York Street, Neurology Dpt, Yale, P.o. Box 208018New Haven, CT 06520-8018
Phone(203) 688-4242
Sole ProprietorYes
Enumeration DateMarch 23, 2016
✔ NPI 1689036279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
15 YORK STREET, New Haven, CT 06520
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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)

Panos Alexis Stathopoulos M.d. 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

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

DR. BOGDAN IOANNIS PATEDAKIS LITVINOV MD
Psychiatry & Neurology (Clinical Neurophysiology)
15 YORK STREET, LCI 910
NEW HAVEN, CT 06520
South Central Connecticut Planning Region (203) 785-4085

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 Panos Alexis Stathopoulos's NPI number?

The NPI number for Panos Alexis Stathopoulos is 1689036279. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Panos Alexis Stathopoulos located?

Panos Alexis Stathopoulos practices at 15 York Street Neurology Dpt, Yale, New Haven, CT 06520. The listed phone number is (203) 688-4242.

What is Panos Alexis Stathopoulos's specialty?

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

Is Panos Alexis Stathopoulos enrolled in Medicare?

Yes. Panos Alexis Stathopoulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Panos Alexis Stathopoulos was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.