Individual provider Active NPI

Michael S Stutesman, M.D.

  • Internal Medicine Physician
  • Morganton, NC
National Provider Identifier
1013972587
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25449 Issued in NC
Practice address
607 E Parker Rd
Morganton, NC 28655-8105
Phone
(828) 433-0225
Fax
(828) 437-0227
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25449 NC Primary

Addresses

Primary practice location

607 E Parker Rd
Morganton, NC 28655-8105

Mailing address

607 E Parker Rd
Morganton, NC 28655-8105
Phone (828) 433-0225

Other identifiers 1

IdentifierTypeStateIssuer
7980746MedicaidNC

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
I20100813000568 NC Practitioner - Internal Medicine 2466508445

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Baylor College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 E Parker Rd
Morganton, NC 28655-8105

Hospital & facility affiliations

  • Amorem Hospice, Lenoir, NC, CCN 341504
  • Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25449NCMDPharmacist

Interoperability endpoints

  • Direct secure messaging: mstutesman220354@direct.unc.nchie.net

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1013972587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558105",
            "telephone_number": "828-433-0225",
            "fax_number": "828-437-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286558105",
            "telephone_number": "828-433-0225",
            "fax_number": "828-437-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTESMAN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "25449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7980746",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.