Individual provider Active NPI

Ionut Stefanescu Sturz, MD

  • Internal Medicine Physician
  • Hazard, KY
National Provider Identifier
1124023973
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38008 Issued in KY
Practice address
311 Roy Campbell Drive
Hazard, KY 41701
Phone
(606) 487-0776
Fax
(606) 487-0777
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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 38008 KY Primary

Addresses

Primary practice location

311 Roy Campbell Drive
Hazard, KY 41701

Mailing address

PO Box 1297
Hazard, KY 41702
Phone (606) 487-0776

Other identifiers 4

IdentifierTypeStateIssuer
64067671MedicaidKY
000000317473OtherKYANTHEM BCBS
000000509783OtherKYANTHEM BCBS
P00173784OtherKYMEDICARE PALMETTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040305000937 KY Practitioner - Internal Medicine 1557259173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Pain Management ServicesGroup PAC ID 2567569866, 4 clinicians

Practice addresses (Care Compare)

311 Roy Campbell Dr
Hazard, KY 41701-9486
Phone (606) 487-0776

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Pain Management Services CurrentSince Apr 1, 2007 Accepting new patients

Locations

311 Roy Campbell Dr
Ste 100
Hazard, KY 41701
Phone (606) 487-7383

108 School St
Hazard, KY 41701
Phone (606) 487-0776

311 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 487-0776

Interoperability endpoints

  • Direct secure messaging: kpms.ionutstefanescusturz@130680.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1124023973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1297",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41702",
            "telephone_number": "606-487-0776",
            "fax_number": "606-487-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ROY CAMPBELL DRIVE",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "41701",
            "telephone_number": "606-487-0776",
            "fax_number": "606-487-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANESCU STURZ",
        "first_name": "IONUT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "38008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64067671",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000317473",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000509783",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PALMETTO",
            "identifier": "P00173784",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.