NPIMap

Individual provider Active NPI

Stephen Howard Kouba, M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1073588620
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
29766 Issued in NC
Practice address
1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone
(910) 609-5000
Fax
(910) 615-9600
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 29766 NC Primary

Addresses

Primary practice location

1219 Walter Reed Rd
Fayetteville, NC 28304-4437

Mailing address

1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 609-5000

Other identifiers 2

IdentifierTypeStateIssuer
8950238MedicaidNC
50238OtherNCBCBS INDIVIDUAL ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100416000664 NC Practitioner - Orthopedic Surgery 5496882862 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 609-5000

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29766NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Orthopaedic Clinic, P.a. Orthopaedic Surgery CurrentSince Aug 1, 1988 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 3, 2023 Accepting new patients
Cape Fear Orthopaedic Clinic, PA Orthopaedic Surgery CurrentSince Aug 1, 1988 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince May 3, 2023 Accepting new patients

Locations

1219 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-5000

6000 Ramsey St
Ste 108
Fayetteville, NC 28311
Phone (910) 484-3332

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

142 Paraclete Dr
Ste 301
Raeford, NC 28376
Phone (910) 222-1200

Interoperability endpoints

  • Direct secure messaging: skouba22945@capefearvalley.direct-ci.com
  • Direct secure messaging: stephen.kouba.p1@direct.capefearortho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1073588620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044437",
            "telephone_number": "910-609-5000",
            "fax_number": "910-615-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044437",
            "telephone_number": "910-609-5000",
            "fax_number": "910-615-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUBA",
        "first_name": "STEPHEN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "29766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950238",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID NUMBER",
            "identifier": "50238",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.