Active NPI
Raymond Jude Staniunas, MD
- Colon & Rectal Surgery Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 60217
- Practice address
- 6029 Walnut Grove Rd Ste 210
Memphis, TN 38120-2112 - Phone
- (901) 226-2960
- Fax
- (901) 226-2982
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 27346 | MS | |
| Colon & Rectal Surgery Physician | 208C00000X | 60217 | TN | Primary |
Addresses
Primary practice location
6029 Walnut Grove Rd Ste 210
Memphis, TN 38120-2112
Mailing address
965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Eastern Virginia Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Hwy 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3315
255 Baptist Blvd
Columbus, MS 39705-2006
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882
6029 Walnut Grove Rd
Memphis, TN 38120-2112
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27346 | MS | MD | Colon & Rectal Surgery Physician |
| 60217 | TN | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Texas Health Physicians Group | Past | Accepting new patients | |
| Baptist Memorial Health Services, Inc. of Mississippi | Past | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Colon & Rectal Surgery | Past | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
401 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 772-4000
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
6029 Walnut Grove Rd
Ste 210
Memphis, TN 38120
Phone (901) 226-2960
Interoperability endpoints
- rstaniunas351697@direct.bmhcc.org
- rstaniunas32460@mlh.direct-ci.com
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.
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Internal Medicine Physician
- New Albany, MS
- NPI 1104971696
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
Colon & Rectal Surgery
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1932169547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6029 WALNUT GROVE RD STE 210",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202112",
"telephone_number": "901-226-2960",
"fax_number": "901-226-2982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANIUNAS",
"first_name": "RAYMOND",
"middle_name": "JUDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MS",
"license": "27346",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TN",
"license": "60217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.