Stephane M Naoumoff, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME81883 Issued in FL

Practice address

1395 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4474

Phone

(321) 453-5252

Fax

(321) 453-5152

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: Undersea and Hyperbaric Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Riverside Family HealthGroup PAC ID 2062435696, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
• Health First Home Care Home health agency, Melbourne, FL, CCN 107233
• Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
• Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
• Parrish Medical Center Hospital, Titusville, FL, CCN 100028
• Viera Hospital Hospital, Melbourne, FL, CCN 100315

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Riverside Family Health

  • Family Medicine Physician
  • Merritt Island, FL
  • NPI 1477568186
  Medicare reassignment Care Compare group NPD
• Steward Rockledge Hospital, Inc.

  • General Acute Care Hospital
  • Rockledge, FL
  • NPI 1235663899
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ajl Nursing Services, LLC

  • Home Health Agency
  • Melbourne, FL
  • NPI 1184183022
  Care Compare affiliation
• Cape Canaveral Hospital, Inc.

  • General Acute Care Hospital
  • Cocoa Beach, FL
  • NPI 1184691610
  Care Compare affiliation
• Cape Canaveral Hospital, Inc.

  • Home Health Agency
  • Melbourne, FL
  • NPI 1922006956
  Care Compare affiliation
• M-Sac, Inc.

  • Home Health Agency
  • Orlando, FL
  • NPI 1306183751
  Care Compare affiliation
• North Brevard County Hospital District

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648
  Care Compare affiliation
• Viera Hospital Inc

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1730494816
  Care Compare affiliation

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1346212933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY",
            "address_2": "STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32953",
            "telephone_number": "321-453-5252",
            "fax_number": "321-453-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534474",
            "telephone_number": "321-453-5252",
            "fax_number": "321-453-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1257 Florida Ave S",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552435",
            "country_code": "US",
            "telephone_number": "321-637-7690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAOUMOFF",
        "first_name": "STEPHANE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME81883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113578300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113538600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Firas R Muwalla, MD
• Bethany Elise Myers
• N.Rao Kopuri, BDS.,Ms.,PA.
• Karen Jean Naberhaus, RN
• Kristie Marie Nagel
• National Vision Inc
• National Vision, Inc.
• Nationwide Vision Center, Inc.
• Sherry Necessary-Corrigan, ARNP
• David Clayton Neely, M.D.

• Family Medicine Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.

Verify at the official NPI Registry.