Individual provider Active NPI

Michael David Stadiem, M.D.

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1750342168
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23233 Issued in NC
Practice address
1000 Crescent GRN Ste 102
Cary, NC 27518-8117
Phone
(919) 233-0410
Fax
(919) 233-0872
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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 23233 NC Primary

Addresses

Primary practice location

1000 Crescent GRN Ste 102
Cary, NC 27518-8117

Mailing address

1000 Crescent GRN Ste 102
Cary, NC 27518-8117
Phone (919) 233-0410

Other identifiers 1

IdentifierTypeStateIssuer
790128CMedicaidNC

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
I20040726001453 NC Practitioner - Family Practice 6002886355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Medical Center PLLCGroup PAC ID 3870938848, 4 clinicians
Amputation Prevention Center of North Carolina LLCGroup PAC ID 4486083664, 18 clinicians

Practice addresses (Care Compare)

1000 Crescent GRN
Suite 102
Cary, NC 27518-8117
Phone (919) 233-0410

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23233NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Medical Center PLLC CurrentSince Jun 1, 2025 Accepting new patients
Neighborhood Urgent Care PLLC CurrentSince Jan 1, 2023 Accepting new patients
Advance Community Health, Inc CurrentSince Jun 2, 2025 Accepting new patients
Rao Clinic PLLC CurrentSince Jun 1, 2025 Accepting new patients
North Carolina Surgery Center LLC Past Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

9764 Holly Springs Rd
Apex, NC 27539
Phone (919) 557-6667

1000 Crescent Green
Ste 102
Cary, NC 27518
Phone (919) 233-0410

1700 Kildaire Farm Rd
Ste 130
Cary, NC 27511

1011 Rock Quarry Rd
Raleigh, NC 27610

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1750342168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CRESCENT GRN STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188117",
            "telephone_number": "919-233-0410",
            "fax_number": "919-233-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CRESCENT GRN STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188117",
            "telephone_number": "919-233-0410",
            "fax_number": "919-233-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADIEM",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "23233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790128C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.