NPIMap

Individual provider Active NPI

Steve Kiriako Georgopoulos, M.D.

  • Specialist
  • Riverhead, NY
National Provider Identifier
1043371487
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
194726 Issued in NY
Practice address
889 E Main St Ste 308
Riverhead, NY 11901-2681
Phone
(631) 386-3500
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 194726 NY Primary

Addresses

Primary practice location

889 E Main St Ste 308
Riverhead, NY 11901-2681

Mailing address

325 Meeting House LN
405
Southampton, NY 11968-5087
Phone (631) 283-5555

Other practice location 1

325 Meeting House Ln
405
Southampton, NY 11968-5087
Phone (631) 283-5555

Other identifiers 1

IdentifierTypeStateIssuer
194726OtherNYNY STATE M.D. LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgeorgopoulos508178@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111102000242 NY Practitioner - Gastroenterology 6406029792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy255
Upper gastrointestinal (GI) endoscopy for acid reflux189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2022 Accepting new patients
New York University CurrentSince Jul 1, 2022 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients
Stony Brook Surgical Associates, University Faculty Practice Corporati PastSince Sep 1, 2012 Accepting new patients

Locations

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

889 E Main St
Ste 308
Riverhead, NY 11901
Phone (631) 386-3500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043371487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MEETING HOUSE LN",
            "address_2": "405",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685087",
            "telephone_number": "631-283-5555",
            "fax_number": "631-283-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 E MAIN ST STE 308",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012681",
            "telephone_number": "631-386-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Meeting House Ln",
            "address_2": "405",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119685087",
            "country_code": "US",
            "telephone_number": "631-283-5555",
            "fax_number": "631-283-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGOPOULOS",
        "first_name": "STEVE",
        "middle_name": "KIRIAKO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "194726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE M.D. LICENSE",
            "identifier": "194726",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgeorgopoulos508178@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "889 E Main St Ste 308",
            "city": "Riverhead",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119012681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.