Organization Active NPI

James V Stelnicki DPM PA

  • Podiatrist
  • New Port Richey, FL
National Provider Identifier
1780854877
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO000387 Issued in FL
Legal business name
JAMES V STELNICKI DPM PA
Practice address
6543 Madison St
New Port Richey, FL 34652-1926
Phone
(727) 842-9504
Fax
(727) 842-9505
NPI assigned
Mar 5, 2008
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Dr. James V Stelnicki, D.P.M.NPI 1851389472
Title
Physician
Phone
(727) 842-9504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO000387 FL Primary

Addresses

Primary practice location

6543 Madison St
New Port Richey, FL 34652-1926

Mailing address

6543 Madison St
New Port Richey, FL 34652-1926
Phone (727) 842-9504

Other identifiers 4

IdentifierTypeStateIssuer
100898800MedicaidFL
DF098AOtherDEMEDICARE PTAN
DR3122OtherFLMEDICARE RAILROAD CARRIER GROUP PTAN
480033991OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100715000155 FL Part B Supplier - Clinic/Group Practice 4789716440 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL
O20100930090100 FL DME Supplier - Physician - Podiatry 4789716440 Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

6543 Madison St
New Prt Rchy, FL 34652
Phone (727) 842-9504

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1780854877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6543 MADISON ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521926",
            "telephone_number": "727-842-9504",
            "fax_number": "727-842-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6543 MADISON ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521926",
            "telephone_number": "727-842-9504",
            "fax_number": "727-842-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES V STELNICKI DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "STELNICKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-842-9504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO000387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100898800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DF098A",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER GROUP PTAN",
            "identifier": "DR3122",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033991",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.