Individual provider Active NPI

Neil David Stern, D.O.

  • Emergency Medicine Physician
  • Sunrise, FL
National Provider Identifier
1164459749
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO 781 Issued in AL
Practice address
14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone
(800) 424-3672
Fax
(954) 377-3042
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18879 MS
Emergency Medicine Physician 207P00000X 05612 KY
Emergency Medicine Physician 207P00000X 054942 GA
Emergency Medicine Physician 207P00000X OS8723 FL
Emergency Medicine Physician 207P00000X TP651 TN
Emergency Medicine Physician 207P00000X DO.781 AL
Emergency Medicine Physician 207P00000X DO 781 AL Primary

Addresses

Primary practice location

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865

Mailing address

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672

Other identifiers 1

IdentifierTypeStateIssuer
264798200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, GA, MS, LA, SC, KY7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20040126000245 AL Practitioner - Emergency Medicine 4981505146 Reassigns benefits to 2 organizations
I20040227000552 FL Practitioner - Emergency Medicine 4981505146 Reassigns benefits to 5 organizations
I20050725000685 GA Practitioner - Emergency Medicine 4981505146 Reassigns benefits to 4 organizations
I20050921000662 MS Practitioner - Emergency Medicine 4981505146 Reassigns benefits to 2 organizations
I20080104000095 LA Practitioner - Emergency Medicine 4981505146 Reassigns benefits to 1 organization
I20090623000576 SC Practitioner - Emergency Medicine 4981505146 Reassigns benefits to 2 organizations
I20231218003179 KY Practitioner - Emergency Medicine 4981505146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 297-1800

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1235SCMDRegistered Dietitian
DO 781ALMDEmergency Medicine Physician
054942GAMDEmergency Medicine Physician
18879MSMDEmergency Medicine Physician
TP651TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Acs Emergency Physicians of SC PC Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Acs Emergency Services of Mississippi Professional Association Emergency Medicine CurrentSince Feb 1, 2009 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Apr 1, 2005 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Sep 1, 2007 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Mar 17, 2024 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Nov 1, 2012 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Aug 1, 2020 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Jun 9, 2018 Accepting new patients
Physicians Link Center LLC Emergency Medicine Past Accepting new patients

Locations (25 of 46)

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

3501 Health Center Blvd
Ste 2220
Estero, FL 34135
Phone (239) 343-9633

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

  • Direct secure messaging: psu9625@yourcarecommunity.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1164459749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "NEIL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18879",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "05612",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "054942",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS8723",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "TP651",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.781",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO 781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264798200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.