Individual provider Active NPI

George R Stefanos II, MD

  • Legal Medicine
  • Spencerport, NY
National Provider Identifier
1679526818
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
203442 Issued in NY
Practice address
21 Union Hill Dr
Suite B
Spencerport, NY 14559-1965
Phone
(585) 352-3535
Fax
(585) 352-6004
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 203442 NY Primary

Addresses

Primary practice location

21 Union Hill Dr
Suite B
Spencerport, NY 14559-1965

Mailing address

21 Union Hill Dr
Suite B
Spencerport, NY 14559-1965
Phone (585) 352-3535

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
I20060410000087 NY Practitioner - Internal Medicine 1951317015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George R. Stefanos M.D. P.CGroup PAC ID 9931375516, 2 clinicians

Practice addresses (Care Compare)

21 Union Hill Dr
Spencerport, NY 14559-1965
Phone (585) 352-3535

Hospital & facility affiliations

  • Rochester Regional Health Home Care Home health agency, Rochester, NY, CCN 337066
  • HCR / HCR Home Care Chha (Rochester) Home health agency, Rochester, NY, CCN 337257
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
George R. Stefanos M.D. P.C CurrentSince Jul 1, 1997 Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients

Locations

21 Union Hill Dr
Spencerport, NY 14559
Phone (585) 352-3535

21 Union Hill Dr
Ste B
Spencerport, NY 14559
Phone (585) 352-3535

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 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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1679526818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UNION HILL DR",
            "address_2": "SUITE B",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591965",
            "telephone_number": "585-352-3535",
            "fax_number": "585-352-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UNION HILL DR",
            "address_2": "SUITE B",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591965",
            "telephone_number": "585-352-3535",
            "fax_number": "585-352-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOS",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "203442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.