Individual provider Active NPI

Randy Stigliano, DO

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1396741278
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS16440 Issued in FL
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

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0012886040001MedicaidPA

Other names 1

  • Randall Stigliano Other name

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
I20200213002945 FL Practitioner - Family PracticePractitioner - Addiction Medicine 8426173196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steward Medical Group IncGroup PAC ID 2860688728, 23 clinicians
RHG of Florida PAGroup PAC ID 7416479761, 22 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

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 Home health agency, Vero Beach, FL, CCN 107134
  • Activa Home Health Home health agency, Stuart, FL, CCN 108113
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-007353-EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RHG of Florida PA Family Medicine CurrentSince Jan 16, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 14, 2020 Accepting new patients
Steward Medical Group, Inc. Family Medicine CurrentSince Feb 14, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.