Individual provider Active NPI

Ivan Todorov Stoev, MD

  • Neurological Surgery Physician
  • Port St Lucie, FL
National Provider Identifier
1730119595
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
58569 Issued in TN
Practice address
10050 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2117
Phone
(772) 288-5862
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 118628 FL
Neurological Surgery Physician 207T00000X 58569 TN Primary

Addresses

Primary practice location

10050 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2117

Mailing address

10050 SW Innovation Way Ste 102
Port St Lucie, FL 34987-2117
Phone (772) 288-5862

Other identifiers 1

IdentifierTypeStateIssuer
011056100MedicaidFL

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
I20140630000978 FL Practitioner - Neurosurgery 7214176874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300

509 SE Riverside Dr
Stuart, FL 34994-2579

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion98
Laminectomy or laminotomy (partial removal of spine bones)54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118628FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jun 14, 2022 Accepting new patients
South Broward Hospital District Neurological Surgery CurrentSince Jul 1, 2014 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jun 14, 2022 Accepting new patients
Indian River Health Services Inc CurrentSince Aug 25, 2022 Accepting new patients
South Broward Hospital District Current Accepting new patients
Indian River Health Services Inc CurrentSince Aug 25, 2022 Accepting new patients
South Broward Hospital District CurrentSince Jul 1, 2014 Accepting new patients

Locations

1150 N 35th Ave
Ste 300
Hollywood, FL 33021
Phone (954) 265-1490

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Ste 5105
Vero Beach, FL 32960

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: istoev2501039@direct.ccf.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1730119595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 SW INNOVATION WAY STE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872117",
            "telephone_number": "772-288-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 SW INNOVATION WAY STE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872117",
            "telephone_number": "772-288-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOEV",
        "first_name": "IVAN",
        "middle_name": "TODOROV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "118628",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "58569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011056100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.