Active NPI
Steven Mark Pouls, DO
- Family Medicine Physician
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS17141
- Practice address
- 134703 Boyette Rd
Riverview, FL 33569 - Phone
- (813) 654-1775
- Fax
- (813) 651-9082
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS17141 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 036089669 | IL |
Addresses
Primary practice location
134703 Boyette Rd
Riverview, FL 33569
Mailing address
13403 Boyette Rd
Riverview, FL 33569-8742
Phone (813) 654-1775
Other practice location 1
919 53rd Ave E
Bradenton, FL 34203-4801
Phone (941) 751-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 399980 | Other | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rowan University School of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13403 Boyette Rd
Riverview, FL 33569-8742
Phone (813) 654-1775
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Primary Care Network Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Family Medicine | Current | Accepting new patients |
| MCR Health, Inc. | Family Medicine | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| Family Medical Associates, SC | Family Medicine | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
919 53rd Ave E
Bradenton, FL 34203
Phone (941) 708-7669
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
13403 Boyette Rd
Riverview, FL 33569
Phone (813) 530-0520
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Interoperability endpoints
- spouls227966@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
Family Medicine
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Family Medicine Physician
- Itasca, IL
- NPI 1174609226
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Riverview
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
- Home Health Agency
- Brandon, FL
- NPI 1437663465
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1063513687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13403 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335698742",
"telephone_number": "813-654-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134703 BOYETTE RD",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "33569",
"telephone_number": "813-654-1775",
"fax_number": "813-651-9082"
}
],
"practiceLocations": [
{
"address_1": "919 53rd Ave E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342034801",
"country_code": "US",
"telephone_number": "941-751-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POULS",
"first_name": "STEVEN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2022-08-10",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS17141",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036089669",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "399980",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.