Active NPI
Joseph Alan Stafford, M.D.
- Internal Medicine Physician
- Naples, FL
National Provider Identifier
1922008655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME90316
- Practice address
- 11181 Health Park Blvd Ste 1165
Naples, FL 34110-5734 - Phone
- (239) 624-0320
- Fax
- (239) 624-0321
- NPI assigned
- Jul 22, 2005
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME90316 | FL | Primary |
Addresses
Primary practice location
11181 Health Park Blvd Ste 1165
Naples, FL 34110-5734
Mailing address
11181 Health Park Blvd
Suite 1165
Naples, FL 34110-8127
Phone (239) 624-0320
Other practice location 1
2157 Pine Ridge Rd
Suite 2145
Naples, FL 34109-2033
Phone (239) 624-4014
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U3107X | Other | FL | MEDICARE |
| 002268500 | Medicaid | FL | |
| 52130 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.25 of 100
- Quality
- 87.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients |
Locations
11181 Health Park Blvd
Ste 1165
Naples, FL 34110
Phone (239) 514-2225
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- jstafford36995@nchhealthcaresystem.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- Lehigh Acres, FL
- NPI 1932595659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922008655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11181 HEALTH PARK BLVD",
"address_2": "SUITE 1165",
"city": "NAPLES",
"state": "FL",
"postal_code": "341108127",
"telephone_number": "239-624-0320",
"fax_number": "239-624-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11181 HEALTH PARK BLVD STE 1165",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105734",
"telephone_number": "239-624-0320",
"fax_number": "239-624-0321"
}
],
"practiceLocations": [
{
"address_1": "2157 Pine Ridge Rd",
"address_2": "Suite 2145",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341092033",
"country_code": "US",
"telephone_number": "239-624-4014",
"fax_number": "239-643-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAFFORD",
"first_name": "JOSEPH",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME90316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "U3107X",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002268500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52130",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.