NPIMap

Individual provider Active NPI

Georgios Giannakopoulos, DO

  • Infectious Disease Physician
  • Holmdel, NJ
National Provider Identifier
1093776759
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA67697 Issued in NJ
Practice address
717 N Beers St
Suite 2E
Holmdel, NJ 07733-1524
Phone
(732) 735-8237
Fax
(732) 888-7381
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA67697 NJ Primary

Addresses

Primary practice location

717 N Beers St
Suite 2E
Holmdel, NJ 07733-1524

Mailing address

PO Box 372
Holmdel, NJ 07733-0372
Phone (732) 735-8237

Other identifiers 1

IdentifierTypeStateIssuer
7823401MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20070326000481 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 5799889085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

717 N Beers St
2E
Holmdel, NJ 07733-1525
Phone (732) 888-7381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA67697NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates of Monmouth PC Infectious Disease CurrentSince May 1, 2006 Accepting new patients
St Michael Infectious Disease Associates Infectious Disease Past Accepting new patients

Locations

717 N Beers St
Ste 2E
Holmdel, NJ 07733
Phone (732) 888-1115

Interoperability endpoints

  • Direct secure messaging: ggiannakopoulos425137@direct.ahsys.org

Organizations & group practices 2

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1093776759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330372",
            "telephone_number": "732-735-8237",
            "fax_number": "732-888-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "address_2": "SUITE 2E",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-735-8237",
            "fax_number": "732-888-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNAKOPOULOS",
        "first_name": "GEORGIOS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA67697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7823401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.