Individual provider Active NPI

Andre George Giannakopoulos, M.D.

  • Internal Medicine Physician
  • East Meadow, NY
National Provider Identifier
1407942162
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
236820 Issued in NY
Practice address
2578 Hempstead Tpke
East Meadow, NY 11554-2136
Phone
(516) 333-5555
Fax
(516) 333-5585
NPI assigned
Oct 4, 2006
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236820 NY Primary

Addresses

Primary practice location

2578 Hempstead Tpke
East Meadow, NY 11554-2136

Mailing address

205 Cypress LN W.
Westbury, NY 11590
Phone (516) 833-6331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000549 NY Practitioner - Internal MedicinePractitioner - Other (Physician) 3072527548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2578 Hempstead Tpke
East Meadow, NY 11554-2136
Phone (516) 333-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Weight Loss Institute CurrentSince Oct 1, 2012 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine Past Accepting new patients
Apogee Medical Group Vermont PC Internal Medicine Past Accepting new patients
Dr Michael Kaplan DO PC Internal Medicine PastSince Jul 20, 2006 Accepting new patients

Locations

2578 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 333-5555

467 Old Country Rd
Westbury, NY 11590
Phone (516) 333-5555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1407942162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CYPRESS LN W.",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-833-6331",
            "fax_number": "516-333-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542136",
            "telephone_number": "516-333-5555",
            "fax_number": "516-333-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNAKOPOULOS",
        "first_name": "ANDRE",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.