Individual provider Active NPI

Stefano Crosio, DO

  • Internal Medicine Physician
  • Clayton, NC
National Provider Identifier
1063087419
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-01848 Issued in NC
Practice address
11618 US 70 Business Highway West
Suites 100 and 200
Clayton, NC 27520-2276
Phone
(919) 359-6810
Fax
(919) 416-5872
NPI assigned
May 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 2024-01848 NC Primary

Addresses

Primary practice location

11618 US 70 Business Highway West
Suites 100 and 200
Clayton, NC 27520-2276

Mailing address

11618 US 70 Business Highway West
Suites 100 and 200
Clayton, NC 27520-2276
Phone (919) 359-6810

Other identifiers 1

IdentifierTypeStateIssuer
1063087419MedicaidNC

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
I20241122002485 NC Practitioner - Internal Medicine 5991107153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

150 E Davie St
Raleigh, NC 27601-1806
Phone (919) 834-5299

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC CurrentSince Sep 9, 2024 Accepting new patients
Wake Specialty Physicians LLC Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients
Wake Specialty Physicians, LLC Internal Medicine Current Accepting new patients

Locations

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

150 E Davie St
Raleigh, NC 27601
Phone (919) 834-5299

Interoperability endpoints

  • Direct secure messaging: scrosio557814@directhisp.wakemed.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1063087419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 US 70 BUSINESS HIGHWAY WEST",
            "address_2": "SUITES 100 AND 200",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202276",
            "telephone_number": "919-359-6810",
            "fax_number": "919-416-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 US 70 BUSINESS HIGHWAY WEST",
            "address_2": "SUITES 100 AND 200",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202276",
            "telephone_number": "919-359-6810",
            "fax_number": "919-416-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSIO",
        "first_name": "STEFANO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-01848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063087419",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.