Active NPI
Mark P Stuart, D.O.
- Cardiovascular Disease Physician
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS11927
- Practice address
- 17000 Porter Rd Ste 201
Winter Garden, FL 34787-8915 - Phone
- (321) 841-6444
- Fax
- (407) 290-2118
- NPI assigned
- Aug 30, 2005
- Last updated
- Jan 6, 2023
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MS012107 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | OS11927 | FL | Primary |
Addresses
Primary practice location
17000 Porter Rd Ste 201
Winter Garden, FL 34787-8915
Mailing address
17000 Porter Rd Ste 201
Winter Garden, FL 34787-8915
Phone (321) 841-6444
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310F337240 | Other | MI | BCBSM CMG |
| 116310900 | Medicaid | FL | |
| 4568835 | Medicaid | MI | |
| 3524264 | Medicaid | MI | |
| 123909 | Other | MI | CARE CHOICES |
| 0F31072 | Other | MI | BCBSM COMMON PROV ID # |
| C6854 | Other | MI | M-CARE |
| G85155 | Other | MI | HEALTH ALLIANCE PLAN |
| 5630545 | Other | MI | BCBSM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | markstuart@migra.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Michigan State University College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17000 Porter Rd
Suite 201
Winter Garden, FL 34787-8915
Phone (321) 841-6444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11927 | FL | MD | Cardiovascular Disease Physician |
| MS012107 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Genesys Practice Partners Inc | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Past | Accepting new patients | |
| Heart Care PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
17000 Porter Rd
Ste 201
Winter Garden, FL 34787
Phone (407) 296-1871
1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/20439/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Cardiovascular Disease
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1982647004
-
- Family Medicine Physician
- Rochester, MI
- NPI 1437272523
Cardiovascular Disease
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Physician Assistant
- Grand Blanc, MI
- NPI 1114060837
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1447243977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 PORTER RD STE 201",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878915",
"telephone_number": "321-841-6444",
"fax_number": "407-290-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 PORTER RD STE 201",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347878915",
"telephone_number": "321-841-6444",
"fax_number": "407-290-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "MARK",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "MS012107",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "OS11927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM CMG",
"identifier": "310F337240",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116310900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4568835",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3524264",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "123909",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM COMMON PROV ID #",
"identifier": "0F31072",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M-CARE",
"identifier": "C6854",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "G85155",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "5630545",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "markstuart@migra.allscriptsdirect.net",
"affiliation": "N",
"address_1": "3452 Genesys Pkwy",
"city": "Grand Blanc",
"state": "MI",
"country_code": "US",
"postal_code": "484397334",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.