NPIMap

Organization Active NPI

Stella MD Clinical Practice PC

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1174367064
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
STELLA MD CLINICAL PRACTICE PC
Practice address
2835 Smith Ave Ste 207
Baltimore, MD 21209-1462
Phone
(914) 806-3678
NPI assigned
Jun 24, 2024
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Sekuleo Gathers, MD
Title
Ceo
Phone
(917) 533-7354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

2835 Smith Ave Ste 207
Baltimore, MD 21209-1462

Mailing address

6727 Giralda Cir
Boca Raton, FL 33433-7733
Phone (914) 806-3678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241113000023 MD Part B Supplier - Clinic/Group Practice 6901330026 Receives reassigned benefits from 4 practitioners
Practice locations: Baltimore, MD
O20251121002385 DC Part B Supplier - Clinic/Group Practice 6901330026 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1174367064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 GIRALDA CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337733",
            "telephone_number": "914-806-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE STE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091462",
            "telephone_number": "914-806-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA MD CLINICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "GATHERS",
        "authorized_official_first_name": "SEKULEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-533-7354",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.