STAGES OF LIFE MEDICAL INSTITUTE
NPI 1790968485
Anesthesiology - Pain Medicine in Longwood, FL
About Stages Of Life Medical Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAGES OF LIFE MEDICAL INSTITUTE (NPI 1790968485) is a healthcare organization registered as a pain medicine in Longwood, Florida and active in the NPI registry since December 2007. The organization holds an CLIA Accreditation certificate valid through September 28, 2027 and lists David S Klein, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stages Of Life Medical Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Stages Of Life Medical Institute, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Accreditation 10D2001025
Stages Of Life Medical Institute · Longwood, FLFrequently 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 Stages Of Life Medical Institute's NPI number?
The NPI number for Stages Of Life Medical Institute is 1790968485. It was assigned to this organization in the NPPES registry on December 17, 2007.
Where is Stages Of Life Medical Institute located?
Stages Of Life Medical Institute is located at 1917 Boothe Cir, Longwood, FL 32750. The listed phone number is (407) 679-3337.
What is Stages Of Life Medical Institute's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Stages Of Life Medical Institute enrolled in Medicare?
Yes. Stages Of Life Medical Institute is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stages Of Life Medical Institute?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Stages Of Life Medical Institute, in General Practice, Neurology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stages Of Life Medical Institute hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 10D2001025) is associated with this NPI, valid through September 28, 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 Stages Of Life Medical Institute was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Stages Of Life Medical Institute · NPI 1790968485
Pain Medicine organization in Longwood, Florida. Organization record, active in the CMS NPPES registry since December 17, 2007.
## Identity
- **NPI:** 1790968485 (Entity type: Organization)
- **Enumerated:** December 17, 2007
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** David Klein, PHYSICIAN
## Practice location
- **Address:** 1917 BOOTHE CIR, Longwood, FL 32750-6708
- **Phone:** (407) 679-3337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Neurology (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2013
- **Other identifiers:** Medicare UPIN B10274 (FL); Medicare PIN K2737 (FL); Medicare NSC 6360470001 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790968485) · Data from the CMS NPPES public registry.