Individual provider Active NPI

Stephan C Kurylas

  • Family Medicine Physician
  • Crofton, MD
National Provider Identifier
1407883903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0035413 Issued in MD
Practice address
2191 Defense Highway
104
Crofton, MD 21114
Phone
(410) 721-2422
Fax
(421) 721-2423
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0035413 MD Primary

Addresses

Primary practice location

2191 Defense Highway
104
Crofton, MD 21114

Mailing address

2191 Defense Highway
104
Crofton, MD 21114
Phone (410) 721-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110204000331 MD Practitioner - Family Practice 5799965976 Practice locations: Crofton, MD

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2191 Defense Hwy
Suite 104
Crofton, MD 21114-2465
Phone (410) 721-2422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.12 of 100Reported as individual
Quality
74.59
Improvement activities
0
Cost
60.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0035413MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephan.kurylas@sckm-md.direct.office.nextgen.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407883903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HIGHWAY",
            "address_2": "104",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "410-721-2422",
            "fax_number": "421-721-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 DEFENSE HIGHWAY",
            "address_2": "104",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "410-721-2422",
            "fax_number": "421-721-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURYLAS",
        "first_name": "STEPHAN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0035413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.