Mary Elizabeth Staben, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34800 Issued in KY

Practice address

1780 Nicholasville Rd
Lexington, KY 40503-1400

Phone

(859) 277-8179

Fax

(859) 277-9320

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

81.29

Promoting interoperability

100

Improvement activities

40

Cost

76.37

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mstabel25925@direct.slhs.org

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 Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  SC

  Medicare reassignment
• David R. Kelly, M.D., P.S.C.

  • Neurology Physician
  • Lexington, KY
  • NPI 1457402786
  NPD (past)
• New Lexington Clinic, PSC

  dba Lexington Clinic

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1700803681

  Internal Medicine

  NPD (past)
• North Lexington Urgent Treatment Associates PSC

  dba Urgent Treatment Clinics UTC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1396724092
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770593626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHINOE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021959",
            "telephone_number": "859-277-8179",
            "fax_number": "859-277-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031400",
            "telephone_number": "859-277-8179",
            "fax_number": "859-277-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABEN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64018203",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Joseph Medical Foundation, Inc. (St Joseph Internal Medicine)
• William Henry St. Clair, MD
• Gerald St. James II
• Sara Staab, APRN
• Jason Staats, LPCC
• Stable Meadows LLC
• Stable Recovery, Inc.
• Morgan Elizabeth Stacey, APRN
• Steven Joseph Stack, MD
• Audra Lee Stacy, MD

• Internal Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.