Active NPI
Stuart Neil Kieran, MD
- Neurology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 10272
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000095765 | Other | MT | BLUE CROSS BLUE SHIELD |
| 0064740 | Medicaid | MT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10272 | MT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Neurology Associates PA | Neurology | Current | Accepting new patients |
| Kidney & Hypertension Specialists PA | Past | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 120
Boca Raton, FL 33487
Phone (561) 270-2280
Interoperability endpoints
- 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.
-
- Nephrology Physician
- Delray Beach, FL
- NPI 1235285776
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
dba Bitterroot Health - Daly Hospital
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.