Ereni A Fotopoulos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114064 Issued in FL

Practice address

5534 Gulf Dr Ste 1
New Port Richey, FL 34652-4000

Phone

(727) 847-3992

Fax

(727) 848-1118

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myers and Fotopoulos MDS PAGroup PAC ID 1759410558, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: erenif@newimagederm.emadirect.md

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.

• Myers & Fotopoulos MDS PA

  • MOHS-Micrographic Surgery Physician
  • New Port Richey, FL
  • NPI 1275522054
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1245824739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 CIELO CIR E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591432",
            "telephone_number": "727-773-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 GULF DR STE 1",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524000",
            "telephone_number": "727-847-3992",
            "fax_number": "727-848-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTOPOULOS",
        "first_name": "ERENI",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garland Forbes, D.M.D.,M.S
• Sylvia Concetta Forte
• Florenda L Fortner, M.D.
• James Ralph Foster II, M.D.
• Sheryl Foster, LMHC
• Theodore N Fotopoulos, MD
• Four Murphys LLC
• Four Murphys Personal Care LLC
• Zoey Fowler
• Michaleh Fox

• Physician Assistant in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.