Individual provider Active NPI

Stella Bard, M.D.

  • Rheumatology Physician
  • Brooklyn, NY
National Provider Identifier
1457561862
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
244064 Issued in NY
Practice address
1250 Ocean Pkwy Ste LN
Brooklyn, NY 11230-5155
Phone
(718) 906-6327
Fax
(718) 303-0984
NPI assigned
May 23, 2007
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X S5838 TX
Rheumatology Physician 207RR0500X 244064 NY Primary

Addresses

Primary practice location

1250 Ocean Pkwy Ste LN
Brooklyn, NY 11230-5155

Mailing address

1113 Lamplight Way
Allen, TX 75013-5609
Phone (718) 906-6327

Other practice location 1

75 E 3rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Other practice location 2

107 Institute St
Jamestown, NY 14701-6628
Phone (716) 484-4334

Other practice location 3

4510 Medical Center Dr Ste 314
McKinney, TX 75069-6851
Phone (469) 702-0777

Other practice location 4

2027 61st St
Galveston, TX 77551-1401
Phone (469) 702-0777

Other identifiers 1

IdentifierTypeStateIssuer
02982598MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080923000323 NY Practitioner - RheumatologyPractitioner - Internal Medicine 4183791817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Chautauqua Center IncGroup PAC ID 7214178326, 35 clinicians

Practice addresses (Care Compare)

1134 Central Ave
Dunkirk, NY 14048-3423
Phone (716) 366-6036

1250 Ocean Pkwy
Suite LN
Brooklyn, NY 11230-5155
Phone (718) 906-6327

51 E 3Rd St
Dunkirk, NY 14048-2201
Phone (716) 363-2244

75 E 3Rd St
Dunkirk, NY 14048-2239
Phone (716) 363-6050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Arthritis & Rheumatology Care PC Rheumatology CurrentSince Jul 1, 2008 Accepting new patients
The Chautauqua Center, Inc CurrentSince Apr 1, 2023 Accepting new patients

Locations

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: stella.bard.1@22211.direct.athenahealth.com
  • Direct secure messaging: stellabard@mai.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1457561862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 LAMPLIGHT WAY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135609",
            "telephone_number": "718-906-6327",
            "fax_number": "412-324-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 OCEAN PKWY STE LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305155",
            "telephone_number": "718-906-6327",
            "fax_number": "718-303-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482239",
            "country_code": "US",
            "telephone_number": "716-363-6050",
            "fax_number": "833-974-1992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Institute St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147016628",
            "country_code": "US",
            "telephone_number": "716-484-4334",
            "fax_number": "833-974-2029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Medical Center Dr Ste 314",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750696851",
            "country_code": "US",
            "telephone_number": "469-702-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2027 61st St",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775511401",
            "country_code": "US",
            "telephone_number": "469-702-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARD",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "S5838",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "244064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02982598",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.