Active NPI
Stuart Internal Medicine Group LLC
- Internal Medicine Physician
- Stuart, FL
National Provider Identifier
1972764223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STUART INTERNAL MEDICINE GROUP LLC
- Practice address
- 19 SE Osceola St
Stuart, FL 34994-2125 - Phone
- (772) 283-4093
- Fax
- (772) 283-9874
- NPI assigned
- Jun 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajendra K. Bansal, MD
- Title
- Medical Director
- Phone
- (772) 283-4093
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | ||
| Internal Medicine Physician | 207R00000X | FL | Primary | |
| Rheumatology Physician | 207RR0500X | FL |
Addresses
Primary practice location
19 SE Osceola St
Stuart, FL 34994-2125
Mailing address
19 SE Osceola St
Stuart, FL 34994-2125
Phone (772) 283-4093
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1972764223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942125",
"telephone_number": "772-283-4093",
"fax_number": "772-283-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SE OSCEOLA ST",
"city": "STUART",
"state": "FL",
"postal_code": "349942125",
"telephone_number": "772-283-4093",
"fax_number": "772-283-9874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART INTERNAL MEDICINE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "BANSAL",
"authorized_official_first_name": "RAJENDRA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "772-283-4093",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
- Stuart Emergency Physicians
- Stuart Eye Institute PA
- Stuart Family Dentistry, Inc.
- Stuart Health Associates PA
- Stuart Hospitalist LLC
- Stuart Lodge Living, LLC (Stuart Lodge)
- Stuart Oncology Associates, PA
- Stuart Oncology Associates, PA (Prashant Patel MD)
- Stuart Operating Corp
- Stuart Pediatric Dentistry, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.