Individual provider Active NPI

Raymond Jude Staniunas, MD

  • Colon & Rectal Surgery Physician
  • Memphis, TN
National Provider Identifier
1932169547
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
60217 Issued in TN
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

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200106000371 TN Practitioner - Colorectal Surgery (Proctology) 3870548506 Reassigns benefits to 1 organization
I20200218000557 MS Practitioner - Colorectal Surgery (Proctology) 3870548506 Reassigns benefits to 1 organization
I20251110001187 AR Practitioner - Colorectal Surgery (Proctology) 3870548506 Reassigns benefits to 1 organization

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 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27346MSMDColon & Rectal Surgery Physician
60217TNMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2020 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2020 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 PastSince Sep 10, 2018 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

  • Direct secure messaging: rstaniunas351697@direct.bmhcc.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.