Individual provider Active NPI

Stanislav Kelner, M.D.

  • Anesthesiology Physician
  • Darby, PA
National Provider Identifier
1821221300
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME140876 Issued in FL
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

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MT194433OtherPACOMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170706000894 SC Practitioner - Anesthesiology 9436391224 Reassigns benefits to 1 organization
I20190927002997 FL Practitioner - Anesthesiology 9436391224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians

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

LicenseStateTypeSpecialty
ME140876FLMDAnesthesiology Physician
MT194433PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Anesthesia Group PA Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 15, 2019 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Jul 10, 2017 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Sep 15, 2019 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.

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": "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

Verify at the official NPI Registry.