Stephen Philip Nimbargi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME85807 Issued in FL

Practice address

321 Maitland Ave Ste 1000
Altamonte Springs, FL 32701-5449

Phone

(407) 331-6236

Fax

(407) 331-6953

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

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

Specialty

General Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Drhomevisitcomllc

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1578830170
  Medicare reassignment NPD Authorized official
• Lakeland Physicians Group LLC

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1174564553
  Medicare reassignment Authorized official
• Health Ventures LLC

  dba Kidz and Family Care

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1467654053
  NPD (past) Authorized official
• Healthventures LLC

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1881063543
  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1811955362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150038",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327150038",
            "telephone_number": "407-782-3702",
            "fax_number": "407-331-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAITLAND AVE STE 1000",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015449",
            "telephone_number": "407-331-6236",
            "fax_number": "407-331-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Buena Vista St",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054504",
            "country_code": "US",
            "telephone_number": "863-688-3674",
            "fax_number": "863-616-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1081 Town Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638360",
            "country_code": "US",
            "telephone_number": "386-218-6860",
            "fax_number": "386-218-6861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1091 Port Malabar Blvd NE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329055100",
            "country_code": "US",
            "telephone_number": "321-724-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMBARGI",
        "first_name": "STEPHEN",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-02-12",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME85807",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5324701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265742200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8665410",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "204678439",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265742201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1852839",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "62948",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Nichols
• Sharon Nichols, DO
• Eric Gregory Nieusma, LMT
• Ricardo Nieves Ramos, M.D.
• Jessica Maria Nieves, BC-HIS, H.A.S
• Nirvana Health Services, Inc.
• Natalia C. Noble, O.D.
• Paris Nobles
• Michael A Nocero, MD
• Roger Nofsinger, D.M.D.

• Family Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.

Verify at the official NPI Registry.