Individual provider Active NPI

Mark C Stine, DO

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1174563449
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5690 Issued in FL
Practice address
13787 Belcher Rd S
Suite 100
Largo, FL 33771-4065
Phone
(727) 535-9899
Fax
(727) 535-2818
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS5690 FL Primary

Addresses

Primary practice location

13787 Belcher Rd S
Suite 100
Largo, FL 33771-4065

Mailing address

13787 Belcher Rd S
Suite 100
Largo, FL 33771-4065
Phone (727) 535-9899

Other identifiers 1

IdentifierTypeStateIssuer
372049700MedicaidFL

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
I20040804001598 FL Practitioner - Internal Medicine 5294706917 Reassigns benefits to 1 organization
Practice locations: Largo, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13787 Belcher Rd S
Suite 100
Largo, FL 33771-4065
Phone (727) 535-9899

13787 Belcher Rd So
Suite 100
Largo, FL 33771-4065

Hospital & facility affiliations

  • Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212
  • Suncoast Hospice Hospice, Palm Harbor, FL, CCN 101508
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Sabal Palms Health & Rehabilitation Nursing home, Largo, FL, CCN 105694

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS5690FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstate Physicians LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Medical Associates of Pinellas LLC Internal Medicine Past Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

801 West Bay Dr
Ste 321
Largo, FL 33770
Phone (561) 302-6086

Organizations & group practices 2

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 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1174563449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13787 BELCHER RD S",
            "address_2": "SUITE 100",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714065",
            "telephone_number": "727-535-9899",
            "fax_number": "727-535-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13787 BELCHER RD S",
            "address_2": "SUITE 100",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714065",
            "telephone_number": "727-535-9899",
            "fax_number": "727-535-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372049700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.