Individual provider Active NPI

John Brennan Stockel, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1609877067
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME83053 Issued in FL
Practice address
3663 S Miami Ave
Miami, FL 33133-4253
Phone
(305) 854-4400
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 221093 NY
Neuroradiology Physician 2085N0700X 0101229014 VA
Neuroradiology Physician 2085N0700X ME83053 FL
Neuroradiology Physician 2085N0700X 42151 CO
Neuroradiology Physician 2085N0700X AFE45310 CA
Neuroradiology Physician 2085N0700X C10005885 DE
Neuroradiology Physician 2085N0700X M7656 TX
Neuroradiology Physician 2085N0700X MD072116L PA
Neuroradiology Physician 2085N0700X 35077791S OH
Neuroradiology Physician 2085N0700X D0045541 MD
Diagnostic Radiology Physician 2085R0202X ME83053 FL Primary

Addresses

Primary practice location

3663 S Miami Ave
Miami, FL 33133-4253

Mailing address

PO Box 7623
Naples, FL 34101-7623
Phone (305) 712-7229

Other practice location 1

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 472-6600

Other practice location 2

11750 SW 40th St
Miami, FL 33175-3530
Phone (305) 223-3000

Other practice location 3

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

Other practice location 4

3476 S University Dr
Davie, FL 33328-2000
Phone (954) 475-4400

Other identifiers 5

IdentifierTypeStateIssuer
P02028187OtherFLFLORIDA RAILROAD MEDICARE
10434355OtherFLCAQH
HR328XOtherFLFLORIDA MEDICARE
96JV5OtherFLFLORIDA BLUE (BCBS)
101407400MedicaidFL

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
I20130808000380 FL Practitioner - Diagnostic Radiology 9739087941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

2010 Graden Dr
Palm Beach Gardens, FL 33410-1298
Phone (305) 812-5187

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AFE45310CAMDNeuroradiology Physician
42151COMDNeuroradiology Physician
C10005885DEMDNeuroradiology Physician
D0045541MDMDNeuroradiology Physician
221093NYMDNeuroradiology Physician
35077791SOHMDNeuroradiology Physician
MD072116LPAMDNeuroradiology Physician
M7656TXMDNeuroradiology Physician
0101229014VAMDNeuroradiology Physician
ME83053FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intellirad Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2017 Accepting new patients
Charter Radiology LLC Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
American Radiology Associates, P.a. Neuroradiology Past Accepting new patients
Georgia Telerad LLC Diagnostic Radiology Past Accepting new patients
Kapiolani Radiology Services LLC Diagnostic Radiology Past Accepting new patients
Post Oak Imaging LLC Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
Med Tel International Corporation Past Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4350

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11760 SW 40th St
Ste 703
Miami, FL 33175

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

10 Little Brook Rd
West Wareham, MA 02576

10700 Charter Dr
Ste 110
Columbia, MD 21044

116 Westminster Pike
Ste 104
Reisterstown, MD 21136
Phone (443) 917-2850

Organizations & group practices 10

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1609877067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334253",
            "telephone_number": "305-854-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "954-472-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11750 SW 40th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20900 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801407",
            "country_code": "US",
            "telephone_number": "305-682-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3476 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282000",
            "country_code": "US",
            "telephone_number": "954-475-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKEL",
        "first_name": "JOHN",
        "middle_name": "BRENNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "221093",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101229014",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME83053",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "42151",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "AFE45310",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "DE",
            "license": "C10005885",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "M7656",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD072116L",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OH",
            "license": "35077791S",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D0045541",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME83053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA RAILROAD MEDICARE",
            "identifier": "P02028187",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10434355",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICARE",
            "identifier": "HR328X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE (BCBS)",
            "identifier": "96JV5",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101407400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.