Active NPI
Michael S Stutesman, M.D.
- Internal Medicine Physician
- Morganton, NC
National Provider Identifier
1013972587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25449
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7980746 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Blue Ridge Healthcare Hospitals, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25449 | NC | MD | Pharmacist |
Interoperability endpoints
- mstutesman220354@direct.unc.nchie.net
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
-
- Community Based Hospice Care Agency
- Lenoir, NC
- NPI 1184711301
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.