Individual provider Active NPI

Stuart H. Janousky, M.D.

  • Pediatrics Physician
  • Oviedo, FL
National Provider Identifier
1477544385
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME47314 Issued in FL
Practice address
1890 W County Road 419 Ste 2010
Oviedo, FL 32765-4402
Phone
(407) 635-5588
Fax
(321) 842-4001
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME47314 FL Primary

Addresses

Primary practice location

1890 W County Road 419 Ste 2010
Oviedo, FL 32765-4402

Mailing address

1890 W County Road 419 Ste 2010
Oviedo, FL 32765-4402
Phone (407) 635-5588

Other identifiers 1

IdentifierTypeStateIssuer
252651400MedicaidFL

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
I20150427002102 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5193044014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Physicians Network Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjanousky27093@orlandohealth.medalliesdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1477544385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 W COUNTY ROAD 419 STE 2010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654402",
            "telephone_number": "407-635-5588",
            "fax_number": "321-842-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W COUNTY ROAD 419 STE 2010",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654402",
            "telephone_number": "407-635-5588",
            "fax_number": "321-842-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOUSKY",
        "first_name": "STUART",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME47314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252651400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.