STEWARD MEDICAL GROUP, INC
NPI 1356008981
Internal Medicine - Cardiovascular Disease in Melbourne, FL

Active since November 18, 2021CLIA 10D2055424 · Waiver
8055 SPYGLASS HILL RD STE 102, MELBOURNE, FL 32940(321) 452-3811 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steward Medical Group, Inc NPPES

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

STEWARD MEDICAL GROUP, INC (NPI 1356008981) is a healthcare organization registered as a cardiovascular disease in Melbourne, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Amy Marie Guay, President Of Smg, as its authorized official.

NPPES Registry Identity

NPI1356008981
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSTEWARD MEDICAL GROUP, INC
Location Address8055 SPYGLASS HILL RD STE 102Melbourne, FL 32940-8564
Mailing Address9 Galen StWatertown, MA 02472-4515
Organization SubpartNo
Authorized OfficialAmy Marie GuayPresident Of Smg · (617) 562-7070
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
NPI 1356008981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
8055 SPYGLASS HILL RD STE 102, Melbourne, FL 32940

Other Names 1

Other Name8055 Spyglass Hill Road, Ste 102

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2055424

Steward Medical Group, Inc · Melbourne, FL
Active · expires Mar 11, 2027
CLIA Number10D2055424
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorMourad Abouelleil
Laboratory Phone(321) 255-8080
Laboratory LocationSteward Medical Group, Inc8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Nurse Practitioner (Family)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940

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 Steward Medical Group, Inc's NPI number?

The NPI number for Steward Medical Group, Inc is 1356008981. It was assigned to this organization in the NPPES registry on November 18, 2021. The provider is also known as 8055 Spyglass Hill Road, Ste 102.

Where is Steward Medical Group, Inc located?

Steward Medical Group, Inc is located at 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940. The listed phone number is (321) 452-3811.

What is Steward Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Steward Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2055424) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Steward Medical Group, Inc was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.