Individual provider Active NPI

Joseph Alan Stafford, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1922008655
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90316 Issued in FL
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U3107XOtherFLMEDICARE
002268500MedicaidFL
52130OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 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
I20040831001212 FL Practitioner - Internal Medicine 2466427661 Reassigns benefits to 1 organization
I20220214001492 IN Practitioner - Internal Medicine 2466427661

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Apr 6, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.