NPIMap

Individual provider Active NPI

Nicholas J Stamato, MD

  • Interventional Cardiology Physician
  • Gillette, WY
National Provider Identifier
1801848593
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
9526A Issued in WY
Practice address
501 S Burma Ave Ste 3500
Gillette, WY 82716-3426
Phone
(307) 688-3700
Fax
(307) 688-7920
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9526A WY
Cardiovascular Disease Physician 207RC0000X 158778 NY
Clinical Cardiac Electrophysiology Physician 207RC0001X 158778 NY
Interventional Cardiology Physician 207RI0011X 158778 NY
Interventional Cardiology Physician 207RI0011X 9526A WY Primary

Addresses

Primary practice location

501 S Burma Ave Ste 3500
Gillette, WY 82716-3426

Mailing address

PO Box 3011
Gillette, WY 82717-3011
Phone (307) 688-3700

Other identifiers 1

IdentifierTypeStateIssuer
01346327MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cchwyo@cchwyo.sdhealthlink.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090623000033 NY Practitioner - Cardiovascular Disease (Cardiology) 8628046760
I20141029001981 WY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 8628046760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Mar 25, 2017 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Mar 25, 2017 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Campbell County Hospital District Past Accepting new patients
United Medical Associates PC Past Accepting new patients
Campbell County Hospital District Past Accepting new patients

Locations

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

30 Harrison St
Ste 250
Johnson City, NY 13790
Phone (607) 763-6580

346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156

44 Pearl St W
Sidney, NY 13838
Phone (607) 563-3512

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

501 S Burma Ave
Ste 3500
Gillette, WY 82716
Phone (307) 688-3500

501 S Burma Ave
Ste 3700
Gillette, WY 82716

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)
Education
State University of Ny Upstate Medical University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell County Hospital District 128 clinicians

Practice addresses (Care Compare)

501 S Burma Ave
Gillette, WY 82716-3426
Phone (307) 688-1000

Hospital & facility affiliations

  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119

Merit-based Incentive Payment System (MIPS)

Final score
68.31 of 100Reported as individual
Quality
62.72
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1801848593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3011",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827173011",
            "telephone_number": "307-688-3700",
            "fax_number": "307-685-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BURMA AVE STE 3500",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163426",
            "telephone_number": "307-688-3700",
            "fax_number": "307-688-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMATO",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WY",
            "license": "9526A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "158778",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "158778",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "158778",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WY",
            "license": "9526A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346327",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchwyo@cchwyo.sdhealthlink.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "501 S Burma Ave Ste 3500",
            "city": "Gillette",
            "state": "WY",
            "country_code": "US",
            "postal_code": "827163426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.