Individual provider Active NPI

Michael B Stierstorfer, M.D.

  • Dermatology Physician
  • North Wales, PA
National Provider Identifier
1376549360
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD042406E Issued in PA
Practice address
311 N Sumneytown Pike
Ste 1E
North Wales, PA 19454-2532
Phone
(215) 699-1929
Fax
(215) 661-0302
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X MD042406E PA
Dermatology Physician 207N00000X MD042406E PA Primary

Addresses

Primary practice location

311 N Sumneytown Pike
Ste 1E
North Wales, PA 19454-2532

Mailing address

311 N Sumneytown Pike
Ste 1E
North Wales, PA 19454-2532
Phone (215) 661-0300

Other identifiers 3

IdentifierTypeStateIssuer
00116203000010MedicaidPA
154144OtherPABLUE SHIELD
2230872OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101118000830 PA Practitioner - Dermatology 4183687734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Wales Dermatology, PLLCGroup PAC ID 6507247608, 2 clinicians

Practice addresses (Care Compare)

311 N Sumneytown Pike
Suite 1E
North Wales, PA 19454-2532
Phone (215) 815-6117

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as individual
Quality
79.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions751
Removal or shaving of skin growth72
Skin biopsy107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Dermatology,PC CurrentSince Mar 1, 2020 Accepting new patients
North Wales Dermatology, PLLC Dermatology CurrentSince Jun 3, 2022 Accepting new patients
Goldman Dermatology, PLLC PastSince Apr 30, 2003 Accepting new patients

Locations

311 N Sumneytown Pike
Ste 1E
North Wales, PA 19454
Phone (215) 661-0300

1101 Paoli Pike
West Chester, PA 19380
Phone (610) 352-2500

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00218

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 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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1376549360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N SUMNEYTOWN PIKE",
            "address_2": "STE 1E",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542532",
            "telephone_number": "215-661-0300",
            "fax_number": "215-661-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SUMNEYTOWN PIKE",
            "address_2": "STE 1E",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542532",
            "telephone_number": "215-699-1929",
            "fax_number": "215-661-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIERSTORFER",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD042406E",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD042406E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116203000010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "154144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2230872",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

Verify at the official NPI Registry.