Active NPI
Randy Stigliano, DO
- Family Medicine Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS16440
- Practice address
- 3745 11TH Cir Ste 105
Vero Beach, FL 32960-4838 - Phone
- (727) 564-2485
- Fax
- (772) 564-6132
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-007353-E | PA | |
| Family Medicine Physician | 207Q00000X | OS16440 | FL | Primary |
Addresses
Primary practice location
3745 11TH Cir Ste 105
Vero Beach, FL 32960-4838
Mailing address
3745 11TH Cir Ste 105
Vero Beach, FL 32960-4838
Phone (727) 564-2485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012886040001 | Medicaid | PA |
Other names 1
- Randall Stigliano
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3745 11TH Cir
Suite 101
Vero Beach, FL 32960-4838
Phone (772) 564-2485
Hospital & facility affiliations
- Visiting Nurse Association of Indian River County Inc
- Activa Home Health
- Cleveland Clinic Indian River Hospital
- Orlando Health Sebastian River Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-007353-E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHG of Florida PA | Family Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Stewart and Stewart a Medical Corporation | Family Medicine | Past | Accepting new patients |
Locations
240 N Wickham Rd
Ste 304
Melbourne, FL 32935
Phone (321) 308-5050
3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485
3745 11th Cir
Ste 101
Vero Beach, FL 32960
Phone (561) 299-3511
1600 36th St
Ste C
Vero Beach, FL 32960
Phone (772) 217-4422
9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572
Interoperability endpoints
- randy.stigliano.1@15594.direct.athenahealth.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.
-
- Family Medicine Physician
- Sebastian, FL
- NPI 1932926169
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vero Beach, FL
- NPI 1649548777
-
- Home Health Agency
- Stuart, FL
- NPI 1770559718
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
-
- Home Health Agency
- Vero Beach, FL
- NPI 1306843768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1396741278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3745 11TH CIR STE 105",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604838",
"telephone_number": "727-564-2485",
"fax_number": "772-564-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3745 11TH CIR STE 105",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604838",
"telephone_number": "727-564-2485",
"fax_number": "772-564-6132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIGLIANO",
"first_name": "RANDY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-007353-E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS16440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012886040001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RANDALL",
"last_name": "STIGLIANO",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.