Individual provider Active NPI

Stanley Mark Dratler, M.D.

  • Family Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1104847672
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME37001 Issued in FL
Practice address
24430 Sandhill Blvd
Att Npi Unit 303
Punta Gorda, FL 33983-5216
Phone
(941) 244-4414
Fax
(941) 244-4415
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME37001 FL Primary

Addresses

Primary practice location

24430 Sandhill Blvd
Att Npi Unit 303
Punta Gorda, FL 33983-5216

Mailing address

24430 Sandhill Blvd
Att Npi Unit 303
Punta Gorda, FL 33983-5216
Phone (941) 244-4414

Other identifiers 1

IdentifierTypeStateIssuer
274357400MedicaidFL

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
I20070127000010 FL Practitioner - General Practice 5496756868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfcoast Medical Housecalls, LLC CurrentSince Jun 2, 2015 Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients
Physician Next Door, LLC PastSince Apr 22, 2014 Accepting new patients

Locations

24430 Sandhill Blvd
Unit 303
Punta Gorda, FL 33983
Phone (941) 244-4414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11657/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stanley.dratler.1@11657.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1104847672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24430 SANDHILL BLVD",
            "address_2": "ATT NPI UNIT 303",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835216",
            "telephone_number": "941-244-4414",
            "fax_number": "941-244-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 SANDHILL BLVD",
            "address_2": "ATT NPI UNIT 303",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835216",
            "telephone_number": "941-244-4414",
            "fax_number": "941-244-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRATLER",
        "first_name": "STANLEY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME37001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274357400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.