Active NPI
Samuel Jordan Stelmach, M.D.
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2021-02549
- Practice address
- 1942 E 7TH St Ste 200
Charlotte, NC 28204-2418 - Phone
- (704) 384-7085
- Fax
- (704) 384-7089
- NPI assigned
- Apr 27, 2016
- 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 | 2021-02549 | NC | Primary |
Addresses
Primary practice location
1942 E 7TH St Ste 200
Charlotte, NC 28204-2418
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3250
Other practice location 2
757 Bryant St
Statesville, NC 28677-4142
Phone (704) 873-5658
Other practice location 3
210 E Trade St Ste D230
Charlotte, NC 28202-2440
Phone (704) 384-7085
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000
Hospital & facility affiliations
- Atrium Health at Home Charlotte
- Novant Health Presbyterian Medical Center
- Novant Health Matthews Medical Center
- Novant Health Huntersville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-02549 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
1942 E 7th St
Ste 200
Charlotte, NC 28204
Phone (704) 338-4708
210 E Trade St
Ste D230
Charlotte, NC 28202
Phone (704) 333-4104
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- sstelmach1119157@direct.novanthealth.org
Organizations & group practices 4
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1770535239
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Charlotte, NC
- NPI 1336186220
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1124473152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1942 E 7TH ST STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042418",
"telephone_number": "704-384-7085",
"fax_number": "704-384-7089"
}
],
"practiceLocations": [
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-3250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "757 Bryant St",
"address_purpose": "LOCATION",
"city": "Statesville",
"state": "NC",
"postal_code": "286774142",
"country_code": "US",
"telephone_number": "704-873-5658",
"fax_number": "704-873-5659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 E Trade St Ste D230",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282022440",
"country_code": "US",
"telephone_number": "704-384-7085",
"fax_number": "704-384-7089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STELMACH",
"first_name": "SAMUEL",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2021-02549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.