Individual provider Active NPI

Christopher Todd Stelly, M.D.

  • Ophthalmology Physician
  • Punta Gorda, FL
National Provider Identifier
1801968490
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0069687 Issued in FL
Practice address
3665 Tamiami TRL
Suite 101
Punta Gorda, FL 33950-7200
Phone
(941) 575-9300
Fax
(941) 575-9394
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0069687 FL Primary

Addresses

Primary practice location

3665 Tamiami TRL
Suite 101
Punta Gorda, FL 33950-7200

Mailing address

3665 Tamiami TRL
Suite 101
Punta Gorda, FL 33950-7200
Phone (941) 575-9300

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
I20041011000141 FL Practitioner - Ophthalmology 7810956265

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Aid Clinic Past Accepting new patients

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1801968490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 TAMIAMI TRL",
            "address_2": "SUITE 101",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507200",
            "telephone_number": "941-575-9300",
            "fax_number": "941-575-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 TAMIAMI TRL",
            "address_2": "SUITE 101",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507200",
            "telephone_number": "941-575-9300",
            "fax_number": "941-575-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0069687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.