Rena A. Stathacopoulos, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G65410 Issued in CA

Practice address

234 Heather CT
Suite 102
Templeton, CA 93465-8765

Phone

(805) 434-5970

Fax

(805) 434-5973

NPI assigned

Jul 31, 2006

Last updated

Jan 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

University of California, Geffen School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Luis Obispo Eye Associates, a Medical Group Inc.Group PAC ID 3173567518, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.95 of 100Reported as group

Quality

97.28

Improvement activities

40

Cost

73.46

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rena.stathacopoulos@direct.shepardeye.nextgenshare.com

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.

• San Luis Obispo Eye Associates, a Medical Group Inc

  • Ophthalmology Physician
  • Templeton, CA
  • NPI 1366409898
  Medicare reassignment Care Compare group NPD
• San Luis Obispo Eye Associates, a Medical Group Incorporated

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1548311061
  NPD
• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1881609238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 HEATHER CT",
            "address_2": "SUITE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658765",
            "telephone_number": "805-434-5970",
            "fax_number": "805-434-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HEATHER CT",
            "address_2": "SUITE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658765",
            "telephone_number": "805-434-5970",
            "fax_number": "805-434-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHACOPOULOS",
        "first_name": "RENA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G65410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G654100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna S Smith, NP
• Michael Smith, DPT
• Newton Birrell Smith, M.D.
• Mary Patricia Speidell, LCSW
• Mareeni Stanislaus, MD
• Stephen Tracy Sigmund MD Inc
• Steven J. Herron M.D.
• Denise Stevens
• Charles Sturgeon III, MD
• Suzanne Chaves, M.D., Inc. (Absolute Endocrinology)

• Ophthalmology Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.