STELLA MD CLINICAL PRACTICE PC
NPI 1174367064
Internal Medicine - Infectious Disease in Baltimore, MD

Active since June 24, 2024
2835 SMITH AVE STE 207, BALTIMORE, MD 21209(914) 806-3678 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2026, Jun 24, 2024 (2 updates tracked since 2024).

About Stella Md Clinical Practice Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STELLA MD CLINICAL PRACTICE PC (NPI 1174367064) is a healthcare organization registered as an infectious disease in Baltimore, Maryland and active in the NPI registry since June 2024. The organization lists Sekuleo Gathers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174367064
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameSTELLA MD CLINICAL PRACTICE PC
Location Address2835 SMITH AVE STE 207Baltimore, MD 21209-1462
Mailing Address6727 Giralda CirBoca Raton, FL 33433-7733 · (914) 806-3678
Organization SubpartNo
Authorized OfficialSekuleo GathersCeo · (917) 533-7354
Enumeration DateJune 24, 2024
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1174367064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2835 SMITH AVE STE 207, Baltimore, MD 21209

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stella Md Clinical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Stella MD Clinical Practice PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1235888496
2504 LIGHTFOOT DR
Baltimore, MD 21209
(410) 814-1105
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1285913772
8630 FENTON ST STE 1204
Silver Spring, MD 20910
(301) 585-1250
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1013501105
1342 VENTURA DR
Lakewood, NJ 08701
(732) 305-2825
✔ PECOS✔ Accepts Medicare144 mi
Infectious Disease
NPI 1336128206
5401 S CONGRESS AVE STE 201
Atlantis, FL 33462
(561) 995-6971
✔ PECOS✔ Accepts Medicare902 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stella MD Clinical Practice PC's NPI number?

The NPI number for Stella MD Clinical Practice PC is 1174367064. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Stella MD Clinical Practice PC located?

Stella MD Clinical Practice PC is located at 2835 Smith Ave Ste 207, Baltimore, MD 21209. The listed phone number is (914) 806-3678.

What is Stella MD Clinical Practice PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Stella MD Clinical Practice PC enrolled in Medicare?

Yes. Stella MD Clinical Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stella MD Clinical Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Stella MD Clinical Practice PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Infectious Disease (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stella MD Clinical Practice PC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.