Individual provider Active NPI

Samuel D Stanley, M.D.

  • Orthopaedic Surgery Physician
  • Durham, NC
National Provider Identifier
1457448961
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
97-00402 Issued in NC
Practice address
4101 N Roxboro St
Durham, NC 27704-2121
Phone
(919) 684-8111
NPI assigned
Oct 6, 2006
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
Orthopaedic Surgery Physician 207X00000X 97-00402 NC Primary

Addresses

Primary practice location

4101 N Roxboro St
Durham, NC 27704-2121

Mailing address

4101 N Roxboro St
Durham, NC 27704-2121
Phone (919) 684-8111

Other identifiers 1

IdentifierTypeStateIssuer
891201YMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100209000381 NC Practitioner - Orthopedic Surgery 9638212913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Duke University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

2351 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

5601 Arringdon Park Dr
Morrisville, NC 27560-5676
Phone (919) 684-8111

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Duke Home Health Home health agency, Durham, NC, CCN 347136
  • Bayada Home Health Care, Inc Home health agency, Roxboro, NC, CCN 347129
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement36
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97-00402NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

4709 Creekstone Dr
Ste 300
Durham, NC 27703
Phone (919) 660-5066

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

3116 N Duke St
Durham, NC 27704
Phone (919) 620-5333

5601 Arringdon Park Dr
Ste 300
Morrisville, NC 27560
Phone (919) 660-5066

3480 Wake Forest Rd
Ste 502
Raleigh, NC 27609
Phone (919) 420-5000

800 Memorial Dr
Danville, VA 24541
Phone (434) 791-3009

Interoperability endpoints

  • Direct secure messaging: sstanley26269@direct.medicine.duke.edu

Organizations & group practices 2

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 11

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457448961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042121",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042121",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "97-00402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891201Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.