Individual provider Active NPI

Andrew Stachewitsch, MD

  • Family Medicine Physician
  • Hallandale Beach, FL
National Provider Identifier
1699768697
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME34502 Issued in FL
Practice address
800 E Hallandale Beach Blvd
Suite 22
Hallandale Beach, FL 33009-4477
Phone
(954) 455-3533
Fax
(954) 458-4079
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME34502 FL Primary

Addresses

Primary practice location

800 E Hallandale Beach Blvd
Suite 22
Hallandale Beach, FL 33009-4477

Mailing address

800 E Hallandale Beach Blvd
Suite 22
Hallandale Beach, FL 33009-4477
Phone (954) 455-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Medical Clinic III Inc CurrentSince May 15, 2018 Accepting new patients
Stat Medical Clinic, Inc. Past Accepting new patients

Locations

800 E Hallandale Beach Blvd
Ste 22
Hallandale Beach, FL 33009
Phone (954) 456-1212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3587/brand/1/csg/1/fhir/r4

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699768697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 22",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094477",
            "telephone_number": "954-455-3533",
            "fax_number": "954-458-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E HALLANDALE BEACH BLVD",
            "address_2": "SUITE 22",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094477",
            "telephone_number": "954-455-3533",
            "fax_number": "954-458-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHEWITSCH",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME34502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.