Individual provider Active NPI

Arthur Stember, MD

  • Pediatrics Physician
  • Indialantic, FL
National Provider Identifier
1548246739
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME63923 Issued in FL
Practice address
408 5TH Ave
Indialantic, FL 32903-4280
Phone
(321) 724-9900
Fax
(321) 724-6609
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 ME63923 FL Primary

Addresses

Primary practice location

408 5TH Ave
Indialantic, FL 32903-4280

Mailing address

408 5TH Ave
Indialantic, FL 32903-4280
Phone (321) 724-9900

Other identifiers 7

IdentifierTypeStateIssuer
373014000MedicaidFL
7040299006OtherFLCIGNA
4319304OtherFLAETNA
26963OtherFLWELLCARE
18876OtherFLBLUE CROSS BLUE SHIELD
010061333OtherFLRAILROAD MEDICARE
2100394OtherFLAETNA

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
I20100311000708 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9739214040 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indialantic Medical Associates, LLC Pediatrics CurrentSince Jan 12, 2010 Accepting new patients
Chandra, Gayden, Patel and Associates Past Accepting new patients

Locations

408 5th Ave
Melbourne, FL 32903
Phone (321) 724-9900

Interoperability endpoints

  • Direct secure messaging: astember22996@epicdirect.hf.org

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1548246739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 5TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034280",
            "telephone_number": "321-724-9900",
            "fax_number": "321-724-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 5TH AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034280",
            "telephone_number": "321-724-9900",
            "fax_number": "321-724-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMBER",
        "first_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME63923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373014000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7040299006",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4319304",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "26963",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18876",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010061333",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2100394",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

Verify at the official NPI Registry.