Active NPI
Stanislav Kelner, M.D.
- Anesthesiology Physician
- Darby, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME140876
- Practice address
- 1500 Lansdowne Ave
Darby, PA 19023-1200 - Phone
- (224) 628-9238
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT194433 | PA | |
| Anesthesiology Physician | 207L00000X | ME140876 | FL | Primary |
Addresses
Primary practice location
1500 Lansdowne Ave
Darby, PA 19023-1200
Mailing address
429 Dalmas Ave
Folcroft, PA 19032-1217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT194433 | Other | PA | COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140876 | FL | MD | Anesthesiology Physician |
| MT194433 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Anesthesia Group PA | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Atlantic Coast Anesthesia Services P.C. | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Anesthesiology | Current | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Networks
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1013350875
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1154658318
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1821221300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 DALMAS AVE",
"city": "FOLCROFT",
"state": "PA",
"postal_code": "190321217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231200",
"telephone_number": "224-628-9238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELNER",
"first_name": "STANISLAV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT194433",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME140876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE",
"identifier": "MT194433",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.