Dexter G Stallworth, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

CERTIFICATION #40560 Issued in FL

Practice address

3301 Alumni Dr
Tampa, FL 33612-9413

Phone

(813) 972-3351

Fax

(813) 903-9541

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Diagnostic Radiology

Education

Meharry Medical College School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Diagnostic Institute LTD 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (6 of 8)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: dexter.stallworth@direct.moffitt.org

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.

• University Diagnostic Institute LTD

  • Radiology Clinic/Center
  • Tampa, FL
  • NPI 1326021346

  Diagnostic Radiology, FL

  Medicare reassignment Care Compare group NPD
• H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc

  • Hematology & Oncology Physician
  • Tampa, FL
  • NPI 1306833595

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Vymed Diagnostic Imaging Tampa LLC

  • Radiology Clinic/Center
  • Tampa, FL
  • NPI 1770579732

  FL

  Medicare reassignment NPD
• Bay Area Imaging Services, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tampa, FL
  • NPI 1336292697
  NPD (past)
• University Diagnostic Institute Winter Park PLLC

  • Radiology Clinic/Center
  • Winter Park, FL
  • NPI 1417917253
  NPD (past)
• Digital Radiology Services, LLC

  • Specialist
  • Wichita, KS
  • NPI 1386678076
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992788947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 ALUMNI DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129413",
            "telephone_number": "813-972-3351",
            "fax_number": "813-903-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ALUMNI DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129413",
            "telephone_number": "813-972-3351",
            "fax_number": "813-903-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "DEXTER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "CERTIFICATION #40560",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME66429",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "118129",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique M Stake, ARNP
• Jithin Jai Stalan
• Monica Elizabeth Staley, PA-C
• Jacqueline Stalker, BCBA, LBA
• Ricki L Stallard
• Rachael Stalnaker, RDN, LDN
• Scott Stalter
• Michael Glenn Stalvey, RPH
• Trevor Stamand
• Paige Stamatelos, M.A., BCBA

• All providers in Tampa, FL
• Neuroradiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.