Nicholas John Kleopoulos M.D., MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

149194 Issued in NY

Practice address

200 E Main St
Smithtown, NY 11787-2812

Phone

(631) 265-4567

Fax

(631) 265-4704

NPI assigned

Dec 6, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicholas.kleopoulos@sbcm.cernerdirect.com

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.

• Jefferson Medical Surgery PC

  • Surgery Physician
  • Smithtown, NY
  • NPI 1306127030
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1730248659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESEARCH WAY",
            "address_2": "UNIVERSITY ASSOCIATES IN OBSTETRICS & GYNECOLOGY, UFPC",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-675-2125",
            "fax_number": "631-675-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872812",
            "telephone_number": "631-265-4567",
            "fax_number": "631-265-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEOPOULOS M.D.",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "149194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi B Klass, RN
• Jacquelyn Anne Klecak
• Patricia M. Klee
• Richard Klein, DDS
• Sarah Kleinman, MSW
• Amanda Klics, PA
• Deborah Ellen Knapp, LCSW
• Faye Knoll, M.D.
• Alyssa Knott
• Suhas Kochat, MD

• Obstetrics & Gynecology Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.