Individual provider Active NPI

Stuart Neil Kieran, MD

  • Neurology Physician
  • Boca Raton, FL
National Provider Identifier
1629150123
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
10272 Issued in MT
Practice address
1601 Clint Moore Rd #120
Boca Raton, FL 33487-5712
Phone
(561) 939-0300
Fax
(561) 939-0339
NPI assigned
Oct 20, 2006
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 10272 MT Primary

Addresses

Primary practice location

1601 Clint Moore Rd #120
Boca Raton, FL 33487-5712

Mailing address

1601 Clint Moore Rd #120
Boca Raton, FL 33487-5712
Phone (406) 375-9310

Other identifiers 2

IdentifierTypeStateIssuer
000095765OtherMTBLUE CROSS BLUE SHIELD
0064740MedicaidMT

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
I20031209000933 FL Practitioner - Neurology 7517861180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Neurology Associates PAGroup PAC ID 1355319823, 9 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 120
Boca Raton, FL 33487-5712
Phone (561) 939-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10272MTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Neurology Associates PA Neurology CurrentSince Dec 1, 2019 Accepting new patients
Kidney & Hypertension Specialists PA PastSince Dec 31, 1999 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECEAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1629150123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD #120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875712",
            "telephone_number": "406-375-9310",
            "fax_number": "406-375-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD #120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875712",
            "telephone_number": "561-939-0300",
            "fax_number": "561-939-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERAN",
        "first_name": "STUART",
        "middle_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MT",
            "license": "10272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000095765",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064740",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.