Individual provider Active NPI

Stella Elberg, D.O

  • Family Medicine Physician
  • Doral, FL
National Provider Identifier
1437562048
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 12726 Issued in FL
Practice address
2801 NW 87TH Ave Ste 5
Doral, FL 33172-1604
Phone
(305) 653-5155
NPI assigned
Jun 11, 2014
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 12726 FL Primary

Addresses

Primary practice location

2801 NW 87TH Ave Ste 5
Doral, FL 33172-1604

Mailing address

2801 NW 87TH Ave Ste 5
Doral, FL 33172-1604
Phone (305) 653-5155

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
I20150401000491 FL Practitioner - Family Practice 9537486501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 12726FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University CurrentSince Oct 9, 2017 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University Inc. CurrentSince Oct 9, 2017 Accepting new patients
Nova Southeastern University, Inc Family Medicine Past Accepting new patients

Locations

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1437562048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW 87TH AVE STE 5",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721604",
            "telephone_number": "305-653-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 87TH AVE STE 5",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721604",
            "telephone_number": "305-653-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBERG",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 12726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.