Individual provider Active NPI

Stefan Rene Adair, M.D.

  • Plastic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1073598785
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME87985 Issued in FL
Practice address
2677 S. Tamiami Trail
Unit 3
Sarasota, FL 34239
Phone
(941) 955-5600
Fax
(941) 870-8489
NPI assigned
Dec 14, 2005
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME87985 FL Primary

Addresses

Primary practice location

2677 S. Tamiami Trail
Unit 3
Sarasota, FL 34239

Mailing address

2677 S. Tamiami Trail
Unit 3
Sarasota, FL 34239
Phone (941) 955-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131209001489 FL Practitioner - Plastic and Reconstructive Surgery 8921095480 Reassigns benefits to 1 organization
I20260529002939 NV Practitioner - Plastic and Reconstructive Surgery 8921095480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4106 Hearthstone Dr
Sarasota, FL 34238-3202

PO Box
Suite 5910
Stateline, NV 89449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87985FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Florida, PA CurrentSince Jun 15, 2015 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jun 15, 2015 Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients
Surgical Clinic PC Plastic Surgery PastSince Jul 1, 2019 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

15051 S Tamiami Trl
Ste 203
Fort Myers, FL 33908
Phone (239) 732-5959

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

Interoperability endpoints

  • Direct secure messaging: sadair713151@direct.memorialcare.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1073598785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 S. TAMIAMI TRAIL",
            "address_2": "UNIT 3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-955-5600",
            "fax_number": "941-870-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 S. TAMIAMI TRAIL",
            "address_2": "UNIT 3",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-955-5600",
            "fax_number": "941-870-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "STEFAN",
        "middle_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME87985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.