Individual provider Active NPI

Stephanie Michelle Floyd, DO

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1124655246
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
80803 Issued in CT
Practice address
1830 E Monument St
Baltimore, MD 21287-0020
Phone
(508) 237-4103
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 80803 CT Primary

Addresses

Primary practice location

1830 E Monument St
Baltimore, MD 21287-0020

Mailing address

1830 E Monument St
Baltimore, MD 21287-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250720000122 CT Practitioner - Nephrology 8628493103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of New England, College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Hartford Nephrology LLCGroup PAC ID 5991772212, 8 clinicians

Practice addresses (Care Compare)

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-4228
Phone (860) 769-9866

Hospital & facility affiliations

  • DaVita Bloomfield Dialysis Dialysis facility, Bloomfield, CT, CCN 072528
  • FMC of Western Hartford Dialysis facility, Bloomfield, CT, CCN 072540
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80803CTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Nephrology, LLC Nephrology CurrentSince Sep 8, 2025 Accepting new patients

Locations

35 Jolley Dr
Ste 203
Bloomfield, CT 06002
Phone (860) 769-7302

Interoperability endpoints

  • Direct secure messaging: sfloyd45976@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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 5

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1124655246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870020",
            "telephone_number": "508-237-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "80803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.