Active NPI
Douglass E Stull, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 0431952
- Practice address
- 6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049 - Phone
- (785) 843-9125
- Fax
- (785) 843-3176
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0431952 | KS | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 0431952 | KS | Primary |
Addresses
Primary practice location
6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049
Mailing address
6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049
Phone (785) 843-9125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200417830A | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Douglass.Stull@direct.lmh.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Orthopedic Surgery
- Education
- University of Texas Medical Branch at Galveston, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newman Memorial County Hospital
Practice addresses (Care Compare)
1130 W 4TH St
Lawrence, KS 66044-1333
1301 W 12TH Ave
Emporia, KS 66801-2590
1301 W 12TH Ave 301 and
Emporia, KS 66801-2590
Phone (620) 343-2376
325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-2800
6265 Rock Chalk Dr
Lawrence, KS 66049-5232
Hospital & facility affiliations
- Visiting Nurses Association (Vna)
- LMH
- Allen County Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 79.76
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0431952 | KS | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial County Hospital | Orthopaedic Surgery | Current | Accepting new patients |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Newman Memorial County Hospital | Orthopaedic Surgery | Current | Accepting new patients |
| The Internal Medicine Group PA | Past | Accepting new patients |
Locations
1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
1301 W 12th Ave
Ste 105
Emporia, KS 66801
Phone (620) 340-6181
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
Interoperability endpoints
- dstull620611@direct.kuha.org
- douglass.stull@newmanrhdirect.org
- douglass.stull@direct.lmh.org
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Lawrence, KS
- NPI 1841607090
-
- Rural Health Clinic/Center
- Emporia, KS
- NPI 1114085594
Orthopaedic Surgery
-
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
- Family Medicine Physician
- Emporia, KS
- NPI 1659810133
Orthopaedic Surgery
-
- Urgent Care Clinic/Center
- Emporia, KS
- NPI 1922306729
-
- Internal Medicine Physician
- Lawrence, KS
- NPI 1235136714
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lawrence, KS
- NPI 1851513162
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
-
- Critical Access Hospital
- Iola, KS
- NPI 1639185457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1366489924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6265 ROCK CHALK DR",
"address_2": "SUITE 1500",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "66049",
"telephone_number": "785-843-9125",
"fax_number": "785-843-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6265 ROCK CHALK DR",
"address_2": "SUITE 1500",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "66049",
"telephone_number": "785-843-9125",
"fax_number": "785-843-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULL",
"first_name": "DOUGLASS",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "0431952",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "KS",
"license": "0431952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200417830A",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Douglass.Stull@direct.lmh.org",
"affiliation": "N",
"endpointDescription": "Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6265 Rock Chalk Dr",
"address_2": "Suite 1500",
"city": "LAWRENCE",
"state": "KS",
"country_code": "US",
"postal_code": "66049",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.