Individual provider Active NPI

John D Stallard, M.D.

  • Emergency Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1184643090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME 88291 Issued in FL
Practice address
5000 University Dr
Coral Gables, FL 33146-2008
Phone
(305) 669-3469
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME 88291 FL Primary

Addresses

Primary practice location

5000 University Dr
Coral Gables, FL 33146-2008

Mailing address

2421 Lake Pancoast Dr
#6-C
Miami Beach, FL 33140-4804
Phone (305) 531-6690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110330000214 CT Practitioner - Emergency Medicine 8527009042 Reassigns benefits to 2 organizations
I20231220002308 MA Practitioner - Emergency Medicine 8527009042 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Memorial Hospital IncGroup PAC ID 4981653789, 39 clinicians
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 88291FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince May 16, 2024 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Sep 3, 2025 Accepting new patients
Lawrence and Memorial Hospital, Inc. Emergency Medicine CurrentSince Mar 27, 2011 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Mar 27, 2011 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Sep 3, 2025 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Sep 3, 2025 Accepting new patients
Emergency Physicians of Connecticut PC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Sturdy Memorial Hospital Inc Emergency Medicine CurrentSince Nov 28, 2023 Accepting new patients
Sturdy Health, Inc. Past Accepting new patients
E R Stat Inc Emergency Medicine PastSince Jun 25, 2023 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184643090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 LAKE PANCOAST DR",
            "address_2": "#6-C",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404804",
            "telephone_number": "305-531-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "305-669-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLARD",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 88291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.