Individual provider Active NPI

Stephen X Skapek, MD

  • Pediatric Hematology & Oncology Physician
  • Durham, NC
National Provider Identifier
1952304529
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
2024-00657 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-3401
Fax
(919) 681-7950
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 2024-00657 NC Primary
Pediatric Hematology & Oncology Physician 2080P0207X 31199 TN

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

Dumc Box 102382
Durham, NC 27710-0001
Phone (919) 684-3401

Other practice location 1

University Of Texas Southwestern Medical Ctr
5323 Harry Hines Blvd
Dallas, TX 75390-9063
Phone (214) 648-3081

Other identifiers 18

IdentifierTypeStateIssuer
136342001MedicaidAR
1558061MedicaidLA
715419MedicaidAZ
2612944MedicaidOH
6700179MedicaidVA
0076112MedicaidNJ
0527903MedicaidIA
060514901MedicaidTX
100049610AMedicaidOK
Q31199MedicaidSC
205030000MedicaidMO
009913010MedicaidAL
104699550MedicaidMI
422400000MedicaidME
1141236 00MedicaidWY
7613394MedicaidNC
00120392MedicaidMS
3838358MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250220000369 NC Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 3577645241 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Dec 5, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: sskapek575508@direct.medicine.duke.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1952304529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUMC BOX 102382",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-3401",
            "fax_number": "919-681-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-3401",
            "fax_number": "919-681-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Texas Southwestern Medical Ctr",
            "address_2": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909063",
            "country_code": "US",
            "telephone_number": "214-648-3081",
            "fax_number": "214-648-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKAPEK",
        "first_name": "STEPHEN",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "NC",
            "license": "2024-00657",
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "TN",
            "license": "31199",
            "primary": false
        }
    ],
    "identifiers": [
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            "identifier": "1558061",
            "state": "LA"
        },
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            "code": "05",
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            "issuer": null,
            "identifier": "715419",
            "state": "AZ"
        },
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            "identifier": "2612944",
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            "identifier": "0076112",
            "state": "NJ"
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            "code": "05",
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            "identifier": "0527903",
            "state": "IA"
        },
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            "code": "05",
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            "identifier": "060514901",
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        },
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            "code": "05",
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            "identifier": "100049610A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q31199",
            "state": "SC"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "205030000",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913010",
            "state": "AL"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "104699550",
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            "code": "05",
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        {
            "code": "05",
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            "identifier": "1141236 00",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "7613394",
            "state": "NC"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "00120392",
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        {
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            "issuer": null,
            "identifier": "3838358",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.