Individual provider Active NPI

Stanton Forrest Dodson, M.D.

  • Transplant Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1942238803
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
ME115150 Issued in FL
Practice address
701 NW 13TH Street
Suite 3097
Boca Raton, FL 33486
Phone
(561) 955-6631
Fax
(561) 955-7258
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 036-106378 IL
Transplant Surgery Physician 204F00000X ME115150 FL Primary

Addresses

Primary practice location

701 NW 13TH Street
Suite 3097
Boca Raton, FL 33486

Mailing address

670 Glades Road
Suite #300
Boca Raton, FL 33431-6464
Phone (561) 395-2626

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
I20130607000289 FL Practitioner - General Practice 7113912577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Eastern Virginia Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

701 NW 13TH St FL
3 Bocacare Ctr for Cancer Genetics
Boca Raton, FL 33486-2305
Phone (561) 955-6242

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-106378ILMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Jan 1, 2019 Accepting new patients
Bocacare Inc CurrentSince Jan 1, 2019 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

701 NW 13th St
Ste 3097
Boca Raton, FL 33486
Phone (561) 955-6631

670 Glades Rd
Ste 300
Boca Raton, FL 33431
Phone (561) 395-2626

701 NW 13th St
Fl 3
Boca Raton, FL 33486
Phone (561) 955-2141

Interoperability endpoints

  • Direct secure messaging: sdodson@sapbc.gwaydirect.com
  • Direct secure messaging: stanton.dodson.1@26289.direct.athenahealth.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 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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1942238803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GLADES ROAD",
            "address_2": "SUITE #300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316464",
            "telephone_number": "561-395-2626",
            "fax_number": "561-395-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 13TH STREET",
            "address_2": "SUITE 3097",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-955-6631",
            "fax_number": "561-955-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "STANTON",
        "middle_name": "FORREST",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "IL",
            "license": "036-106378",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "FL",
            "license": "ME115150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.