Individual provider Active NPI

Chad Nicholas Stasik, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Antonio, TX
National Provider Identifier
1164511200
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
N5416 Issued in TX
Practice address
4330 Medical Dr Ste 325
San Antonio, TX 78229-3389
Phone
(210) 615-7700
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2017007403 MO
Surgery Physician 208600000X TRN8846 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2017007403 MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X N5416 TX Primary

Addresses

Primary practice location

4330 Medical Dr Ste 325
San Antonio, TX 78229-3389

Mailing address

4330 Medical Dr Ste 325
San Antonio, TX 78229-3389
Phone (210) 615-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHAD.STASIK@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120521000677 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1850554395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
University of Michigan Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 650-4949

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 208-2200

4411 Medical Dr
San Antonio, TX 78229-3824

6700 W Interstate 10
San Antonio, TX 78201-2009
Phone (210) 736-6700

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN8846FLMDSurgery Physician
2017007403MOMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
N5416TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC CurrentSince Dec 1, 2020 Accepting new patients
San Antonio Cardiology Clinic PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4411 Medical Dr
Ste 210
San Antonio, TX 78229
Phone (210) 615-7700

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

4330 Medical Dr
Ste 325
San Antonio, TX 78229
Phone (210) 615-1955

Interoperability endpoints

  • Direct secure messaging: cstasik67923@surescripts.sfmc.net
  • Direct secure messaging: chad.stasik@hca7.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1164511200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR STE 325",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293389",
            "telephone_number": "210-615-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 MEDICAL DR STE 325",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293389",
            "telephone_number": "210-615-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIK",
        "first_name": "CHAD",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-01-28",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2017007403",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "TRN8846",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2017007403",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "N5416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHAD.STASIK@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4330 Medical Dr Ste 325",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.