Individual provider Active NPI

Douglass E Stull, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lawrence, KS
National Provider Identifier
1366489924
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0431952 Issued in KS
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

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200417830AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000269 KS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7517964893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians
Newman Memorial County HospitalGroup PAC ID 5193638526, shared by 6 NPIs, 61 clinicians

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) Home health agency, Lawrence, KS, CCN 177034
  • LMH Hospital, Lawrence, KS, CCN 170137
  • Allen County Regional Hospital Hospital, Iola, KS, CCN 171373

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
0431952KSMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Orthopaedic Surgery CurrentSince Jan 3, 2020 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Newman Memorial County Hospital CurrentSince Jan 3, 2020 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

  • Direct secure messaging: dstull620611@direct.kuha.org
  • Direct secure messaging: douglass.stull@newmanrhdirect.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.