Individual provider Active NPI

Stephen G Ritter, MD

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1073573580
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 61131 Issued in FL
Practice address
885 37TH PL Ste B
Vero Beach, FL 32960-6564
Phone
(772) 567-6140
Fax
(772) 567-6170
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 61131 FL Primary

Addresses

Primary practice location

885 37TH PL Ste B
Vero Beach, FL 32960-6564

Mailing address

885 37TH PL Ste B
Vero Beach, FL 32960-6564
Phone (772) 567-6140

Other identifiers 2

IdentifierTypeStateIssuer
23309OtherFLBLUE CROSS
268720800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000420 FL Practitioner - Internal Medicine 8628971660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

885 37TH PL
Suite B
Vero Beach, FL 32960-6564
Phone (772) 567-6140

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 61131FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen G Ritter MD PA Internal Medicine CurrentSince Jun 2, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1040 37th Pl
Ste 100
Vero Beach, FL 32960
Phone (772) 563-4580

885 37th Pl
Ste B
Vero Beach, FL 32960
Phone (772) 567-6140

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 1

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1073573580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 37TH PL STE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-567-6140",
            "fax_number": "772-567-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 37TH PL STE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606564",
            "telephone_number": "772-567-6140",
            "fax_number": "772-567-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 61131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "23309",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268720800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.