Active NPI
Carol Melinda Stevens, D.O.
- Surgery Physician
- Liverpool, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 271807
- Practice address
- 5100 W Taft Rd Ste 1C
Liverpool, NY 13088-3808 - Phone
- (315) 634-3399
- Fax
- (315) 634-3481
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 271807 | NY | Primary |
Addresses
Primary practice location
5100 W Taft Rd Ste 1C
Liverpool, NY 13088-3808
Mailing address
PO Box 4868
Syracuse, NY 13221
Phone (315) 452-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
4101 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 637-7878
4103 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1500
4117 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 744-1551
5100 W Taft Rd
Liverpool, NY 13088-3807
Phone (315) 452-2828
5100 W Taft Rd
Liverpool, NY 13088-4841
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 13 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical PC | Surgery | Current | Accepting new patients |
| North Medical PC | Current | Accepting new patients | |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital Health Center | Current | Accepting new patients | |
| St. Joseph'S Physician Health, P.C. | Current | Accepting new patients | |
| Cny North Urgent Care PLLC | Past | Accepting new patients |
Locations
4000 Medical Center Dr
Ste 301
Fayetteville, NY 13066
4117 Medical Center Dr
#A
Fayetteville, NY 13066
Phone (315) 329-4968
5100 W Taft Rd
Ste 2E
Liverpool, NY 13088
Phone (315) 634-2541
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
Interoperability endpoints
- cstevens2382033@direct.trinity-health.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Anesthesiology Physician
- Troy, NY
- NPI 1154376770
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1699832436
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1962901389
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1891958898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4868",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13221",
"telephone_number": "315-452-2500",
"fax_number": "315-452-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TAFT RD STE 1C",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883808",
"telephone_number": "315-634-3399",
"fax_number": "315-634-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CAROL",
"middle_name": "MELINDA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "271807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.