Stanford Wellcare Clinic PLLC
NPI 1861071219 · Rural Health Clinic/Center · Stanford, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stanford Wellcare Clinic PLLC is a Rural Health Clinic/Center organization in Stanford, KY (NPI 1861071219).
Provider details
- NPI number
- 1861071219
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Imad Haddad, Owner(859) 481-7113
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Frequently asked questions
- What is Stanford Wellcare Clinic PLLC's NPI number?
- Stanford Wellcare Clinic PLLC's National Provider Identifier (NPI) is 1861071219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stanford Wellcare Clinic PLLC?
- Stanford Wellcare Clinic PLLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Stanford Wellcare Clinic PLLC located?
- Stanford Wellcare Clinic PLLC's practice location on file with NPPES is 132 Frontier Blvd Ste 101, Stanford, KY 40484-6516.
- What is Stanford Wellcare Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Stanford Wellcare Clinic PLLC is (606) 727-5757.
- Does Stanford Wellcare Clinic PLLC accept Medicare?
- Stanford Wellcare Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stanford Wellcare Clinic PLLC?
- The authorized official listed on Stanford Wellcare Clinic PLLC's NPPES record is Imad Haddad, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stanford Wellcare Clinic PLLC's NPI active?
- Yes — Stanford Wellcare Clinic PLLC's NPI (1861071219) is active in the NPPES registry as of the last update on 2021-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.