Individual provider Active NPI

Pete Papapanos, M.D

  • Obstetrics & Gynecology Physician
  • Stuart, FL
National Provider Identifier
1164415667
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301070188 Issued in MI
Practice address
1815 S Kanner Hwy
Stuart, FL 34994
Phone
(772) 288-2992
Fax
(772) 288-2999
NPI assigned
Aug 30, 2005
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301070188 MI Primary

Addresses

Primary practice location

1815 S Kanner Hwy
Stuart, FL 34994

Mailing address

1815 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-2992

Other identifiers 2

IdentifierTypeStateIssuer
0F376970OtherMIBCBSM
4894591MedicaidMI

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
I20090814000079 FL Practitioner - Obstetrics/Gynecology 8628080488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1945 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5535
Phone (772) 288-2992

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070188MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc CurrentSince Nov 2, 2013 Accepting new patients
Florida Community Health Centers Inc Obstetrics & Gynecology CurrentSince Nov 2, 2013 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 15, 2019 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Dec 13, 2016 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 15, 2019 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc Obstetrics & Gynecology Current Accepting new patients
St Clair Shores Obstetrics and Gynecolgy, PLC Obstetrics & Gynecology Past Accepting new patients
Womencare PA Past Accepting new patients
St Clair Shores Obstetrics and Gynecology, PLC Obstetrics & Gynecology Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1945 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (561) 286-9400

1815 S Kanner Hwy
Stuart, FL 34994
Phone (772) 288-2992

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pete.papapanos.1@2183.direct.athenahealth.com

Organizations & group practices 11

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.

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1164415667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-288-2992",
            "fax_number": "772-288-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-288-2992",
            "fax_number": "772-288-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAPANOS",
        "first_name": "PETE",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301070188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F376970",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4894591",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.