NPIMap

Individual provider Active NPI

Eleonora S Spokoyny, MD

  • Neurology Physician
  • Mission Viejo, CA
National Provider Identifier
1649257148
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A53662 Issued in CA
Practice address
25982 Pala
Ste 150
Mission Viejo, CA 92691-6719
Phone
(949) 586-5500
Fax
(949) 586-1600
NPI assigned
Dec 27, 2005
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A53662 CA Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X A53662 CA

Addresses

Primary practice location

25982 Pala
Ste 150
Mission Viejo, CA 92691-6719

Mailing address

25982 Pala
Ste 150
Mission Viejo, CA 92691-6719
Phone (949) 586-5500

Other identifiers 1

IdentifierTypeStateIssuer
A0536620MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050505001256 CA Practitioner - NeurologyPractitioner - Other (Physician) 0244270593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Eleonora S Spokoyny MD IncGroup PAC ID 5597853267, 2 clinicians

Practice addresses (Care Compare)

25982 Pala
Suite 150
Mission Viejo, CA 92691-6703
Phone (949) 586-5500

25982 Pala
Suite 150
Mission Viejo, CA 92691-6719

25982 Pala
Suite 150
Mission Viejo, CA 92691-6724

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53662CAMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eleonora S. Spokoyny M.D., Inc. CurrentSince Aug 15, 2007 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients

Locations

25982 Pala
Ste 150
Mission Viejo, CA 92691
Phone (949) 586-5500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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

Hospital & facility affiliations 5

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1649257148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "949-586-5500",
            "fax_number": "949-586-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "949-586-5500",
            "fax_number": "949-586-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOKOYNY",
        "first_name": "ELEONORA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A53662",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A53662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0536620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.