Active NPI
Mark Joseph Stavas, MD
- Radiation Oncology Physician
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 30395
- Practice address
- 4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587 - Phone
- (402) 420-7000
- Fax
- (402) 420-6969
- NPI assigned
- May 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD53147 | TN | |
| Radiation Oncology Physician | 2085R0001X | 30395 | NE | Primary |
Addresses
Primary practice location
4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Mailing address
4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone (402) 420-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@sncc.oncoemrdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- 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
- Radiation Oncology
- Education
- University of Nebraska College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4101 Tiger Lily Rd
Suite 100
Lincoln, NE 68516-5587
Phone (402) 420-7000
555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Specialty, LLC | Radiation Oncology | Current | Accepting new patients |
| Bryan Medical Center | Current | Accepting new patients | |
| Bryan Medical Center | Current | Accepting new patients | |
| Cancer Partners of Nebraska PC | Radiation Oncology | Current | Accepting new patients |
| Bryan Medical Center | Current | Accepting new patients | |
| Cancer Partners of Nebraska PC | Current | Accepting new patients | |
| The Physician Network | Past | Accepting new patients | |
| Bryan Medical Center | Past | Accepting new patients |
Locations
1500 S 48th St
Ste 612
Lincoln, NE 68506
Phone (402) 483-4448
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
1500 S 48th St
Fl 1
Lincoln, NE 68506
Phone (402) 489-0200
4101 Tiger Lily Rd
Ste 100
Lincoln, NE 68516
Phone (402) 420-7000
4101 Tiger Lily Rd
Ste 130
Lincoln, NE 68516
Phone (402) 481-7900
3901 Pine Lake Rd
Ste 111
Lincoln, NE 68516
Phone (402) 420-6090
201 S 68th Street Pl
Ste 200
Lincoln, NE 68510
Phone (402) 420-7000
1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049
2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000
Interoperability endpoints
- admin@sncc.oncoemrdirect.com
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.
-
- Hematology & Oncology Physician
- Lincoln, NE
- NPI 1437111408
-
- Hospitalist Physician
- Lincoln, NE
- NPI 1285138065
Radiation Oncology
-
- Diagnostic Radiology Physician
- Lincoln, NE
- NPI 1699384370
-
- Counseling Psychologist
- Lincoln, NE
- NPI 1497809966
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lincoln, NE
- NPI 1629157789
-
- Hematology & Oncology Physician
- Kearney, NE
- NPI 1649151531
Radiation Oncology
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437184652
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
-
- Critical Access Hospital
- York, NE
- NPI 1588764898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710547200000",
"number": "1336468636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 TIGER LILY RD STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165587",
"telephone_number": "402-420-7000",
"fax_number": "402-420-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 TIGER LILY RD STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685165587",
"telephone_number": "402-420-7000",
"fax_number": "402-420-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVAS",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-26",
"last_updated": "2024-03-16",
"certification_date": "2024-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "MD53147",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NE",
"license": "30395",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@sncc.oncoemrdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4101 Tiger Lily Rd Ste 100",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685165587",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.