Active NPI
Richard Phelps Stankus, PHD MD
- Allergy & Immunology Physician
- Liverpool, NY
National Provider Identifier
1023119021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 1743091
- Practice address
- 7209 Buckley Rd Suite 2X
North Medical Center
Liverpool, NY 13088 - Phone
- (315) 452-2070
- Fax
- (315) 452-2074
- NPI assigned
- Sep 25, 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 1743091 | NY | Primary |
Addresses
Primary practice location
7209 Buckley Rd Suite 2X
North Medical Center
Liverpool, NY 13088
Mailing address
7209 Buckley Rd Suite 2X
North Medical Center
Liverpool, NY 13088
Phone (315) 452-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01069745 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20101029000430 | NY | Practitioner - Allergy/Immunology | 3779777149 | Practice locations: Liverpool, NY; Auburn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Tulane University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5100 W Taft Rd
Suite 2X
Liverpool, NY 13088-4841
Phone (315) 452-2070
7209 Buckley Rd
2X
Liverpool, NY 13088-3846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1743091 | NY | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1023119021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 BUCKLEY RD SUITE 2X",
"address_2": "NORTH MEDICAL CENTER",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "13088",
"telephone_number": "315-452-2070",
"fax_number": "315-452-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7209 BUCKLEY RD SUITE 2X",
"address_2": "NORTH MEDICAL CENTER",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "13088",
"telephone_number": "315-452-2070",
"fax_number": "315-452-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANKUS",
"first_name": "RICHARD",
"middle_name": "PHELPS",
"name_prefix": "Dr.",
"credential": "PHD MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "1743091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01069745",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.