Stella Medical Care LLC
NPI 1255851481ActiveOrganization· Nurse Practitioner, Adult Health· Stamford, CT
Nurse Practitioner, Adult Health in Stamford, Connecticut, registered in NPPES in June 2017. The authorized official on file is Jack Diteodoro, MD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255851481 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2017 |
| Last updated in NPPES | Mar 14, 2026 |
| Certified by provider | Mar 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
| Skilled Nursing Facility | 314000000X | 4729 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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