Active NPI
Stacey Martindale, MD
- Surgical Critical Care Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- ME126772
- Practice address
- 21110 Biscayne Blvd
Suite 400
Aventura, FL 33180-1227 - Phone
- (305) 918-7050
- Fax
- (305) 918-7051
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | ME126772 | FL | Primary |
Addresses
Primary practice location
21110 Biscayne Blvd
Suite 400
Aventura, FL 33180-1227
Mailing address
21110 Biscayne Blvd
Suite 400
Aventura, FL 33180-1227
Phone (305) 918-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Rutgers New Jersey Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030
7501 Surratts Rd
Clinton, MD 20735-3362
Phone (301) 877-7353
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
9105 Franklin Square Dr
Baltimore, MD 21237-3930
Phone (443) 777-7785
Hospital & facility affiliations
- Medstar Southern Maryland Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Specialty Associates PLLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Northwest Florida Multispecialty Physicians LLC | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Interoperability endpoints
- stacey.martindale@hca5.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Washington, DC
- NPI 1770198301
-
- Neurological Surgery Physician
- Fort Walton Beach, FL
- NPI 1790912269
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1295961712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 400",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-918-7050",
"fax_number": "305-918-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 400",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-918-7050",
"fax_number": "305-918-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINDALE",
"first_name": "STACEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME126772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.