NPIMap

Individual provider Active NPI

Austin Craig Stark, MD

  • Urology Physician
  • Safety Harbor, FL
National Provider Identifier
1568955920
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME162782 Issued in FL
Practice address
1840 Mease Dr Ste 300
Safety Harbor, FL 34695-6605
Phone
(727) 785-6011
Fax
(877) 331-6124
NPI assigned
Jun 11, 2018
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME162782 FL Primary

Addresses

Primary practice location

1840 Mease Dr Ste 300
Safety Harbor, FL 34695-6605

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 504-4623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713003083 FL Practitioner - Urology 0840543542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology Institute LLCGroup PAC ID 2163653585, 152 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 300
Safety Harbor, FL 34695-6605
Phone (727) 785-6011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
80.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC Urology CurrentSince Aug 14, 2023 Accepting new patients
Advanced Urology Institute, LLC Urology CurrentSince Aug 14, 2023 Accepting new patients
Advanced Urology Institute, LLC Past Accepting new patients
Advanced Urology Institute LLC Urology Past Accepting new patients

Locations

646 Virginia St
Ste 701
Dunedin, FL 34698
Phone (727) 734-9088

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

2148 Duck Slough Blvd
Ste 102
New Port Richey, FL 34655
Phone (727) 375-1975

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981

35095 US Highway 19 N
Ste 202
Palm Harbor, FL 34684
Phone (727) 771-0600

1840 Mease Dr
Ste 300
Safety Harbor, FL 34695
Phone (727) 785-6011

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida

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.

Hospital & facility affiliations 5

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1568955920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "352-504-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR STE 300",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956605",
            "telephone_number": "727-785-6011",
            "fax_number": "877-331-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "AUSTIN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME162782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.