Individual provider Active NPI

Stefan Barisic, MD

  • Student in an Organized Health Care Education/Training Program
  • Durham, NC
National Provider Identifier
1003518556
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
30 Duke Medical Circle Duke South Pink Zone Room 25169
Durham, NC 27710-3098
Phone
(919) 684-3491
NPI assigned
Mar 20, 2023
Last updated
Jun 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

30 Duke Medical Circle Duke South Pink Zone Room 25169
Durham, NC 27710-3098

Mailing address

30 Duke Medical Circle Duke South Pink Zone Room 25169
Durham, NC 27710-0001
Phone (919) 684-3491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910004135 NC Order and Referring Only - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 9032579446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1003518556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DUKE MEDICAL CIRCLE DUKE SOUTH PINK ZONE ROOM 25169",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DUKE MEDICAL CIRCLE DUKE SOUTH PINK ZONE ROOM 25169",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277103098",
            "telephone_number": "919-684-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARISIC",
        "first_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.