Organization Active NPI

Stella Maris Healthcare Corporation

  • Internal Medicine Physician
  • Bay Harbor Islands, FL
National Provider Identifier
1821245242
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STELLA MARIS HEALTHCARE CORPORATION
Practice address
1045 95TH St
Suite 100
Bay Harbor Islands, FL 33154-2108
Phone
(305) 993-4400
Fax
(305) 993-4402
NPI assigned
Aug 27, 2008
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Oliver R Di Pietro, MDNPI 1710903158
Title
President
Phone
(305) 993-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1045 95TH St
Suite 100
Bay Harbor Islands, FL 33154-2108

Mailing address

1045 95TH St
Suite 100
Bay Harbor Islands, FL 33154-2108
Phone (305) 993-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050919000029 FL Part B Supplier - Clinic/Group Practice 0345273470 Receives reassigned benefits from 2 practitioners
Practice locations: North Miami, FL

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1821245242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 95TH ST",
            "address_2": "SUITE 100",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542108",
            "telephone_number": "305-993-4400",
            "fax_number": "305-993-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 95TH ST",
            "address_2": "SUITE 100",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542108",
            "telephone_number": "305-993-4400",
            "fax_number": "305-993-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA MARIS HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "DI PIETRO",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-993-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.