Individual provider Active NPI

Kurt T Stockamp, M.D.

  • Surgery Physician
  • Pensacola, FL
National Provider Identifier
1811960958
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME64368 Issued in FL
Practice address
5147 N 9TH Ave
Ste. 203
Pensacola, FL 32504-8771
Phone
(850) 476-6110
Fax
(850) 479-6042
NPI assigned
Feb 9, 2006
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME64368 FL Primary

Addresses

Primary practice location

5147 N 9TH Ave
Ste. 203
Pensacola, FL 32504-8771

Mailing address

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6014

Other identifiers 4

IdentifierTypeStateIssuer
59101757OtherALBCBS
18969OtherFLBCBS
009935384OtherALAL MEDICAID
372995800OtherFLMEDICAID

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
I20100616000224 FL Practitioner - General Surgery 1951358183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Vanderbilt University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System, IncGroup PAC ID 5799763074, 19 clinicians

Practice addresses (Care Compare)

5153 N 9TH Ave STR
305 Sacred Heart Medical Group
Pensacola, FL 32504-5719
Phone (850) 416-6159

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System Inc CurrentSince Jan 1, 2021 Accepting new patients
Novo Plastic Surgery LLC CurrentSince Aug 1, 2015 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5147 N 9th Ave
Ste 203
Pensacola, FL 32504
Phone (850) 476-6110

5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250

Interoperability endpoints

  • Direct secure messaging: kurt.stockamp.1@9582.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1811960958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD",
            "address_2": "STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6014",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE",
            "address_2": "STE. 203",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048771",
            "telephone_number": "850-476-6110",
            "fax_number": "850-479-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKAMP",
        "first_name": "KURT",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME64368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59101757",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18969",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL MEDICAID",
            "identifier": "009935384",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "372995800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.