Individual provider Active NPI

Hermann J Stubbe, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Weston, FL
National Provider Identifier
1851336150
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME1004444 Issued in FL
Practice address
1825 N Corporate Lakes Blvd
Weston, FL 33326-3211
Phone
(954) 349-1111
Fax
(954) 349-1234
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME1004444 FL Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 14135 PR

Addresses

Primary practice location

1825 N Corporate Lakes Blvd
Weston, FL 33326-3211

Mailing address

1825 N Corporate Lakes Blvd
Weston, FL 33326-3211
Phone (954) 349-1111

Other identifiers 2

IdentifierTypeStateIssuer
0020886STOtherPRTRIPLES PROVIDER NUMBER
280158200MedicaidFL

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
I20080228000637 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 1951327576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

1825 N Corporate Lakes Blvd
Weston, FL 33326-3211
Phone (954) 349-1111

Hospital & facility affiliations

  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME1004444FLMDGeriatric Medicine (Family Medicine) Physician
14135PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jan 2, 2008 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

525 Okeechobee Blvd
Fl 14
West Palm Beach, FL 33401
Phone (561) 804-0200

1825 N Corporate Lakes Blvd
Weston, FL 33326
Phone (954) 349-1111

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

Interoperability endpoints

  • Direct secure messaging: hstubbemd34939@direct.ccf.org

Organizations & group practices 2

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1851336150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N CORPORATE LAKES BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263211",
            "telephone_number": "954-349-1111",
            "fax_number": "954-349-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N CORPORATE LAKES BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263211",
            "telephone_number": "954-349-1111",
            "fax_number": "954-349-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBE",
        "first_name": "HERMANN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME1004444",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "14135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLES PROVIDER NUMBER",
            "identifier": "0020886ST",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280158200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.