Active NPI
Stephen X Skapek, MD
- Pediatric Hematology & Oncology Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 2024-00657
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136342001 | Medicaid | AR | |
| 1558061 | Medicaid | LA | |
| 715419 | Medicaid | AZ | |
| 2612944 | Medicaid | OH | |
| 6700179 | Medicaid | VA | |
| 0076112 | Medicaid | NJ | |
| 0527903 | Medicaid | IA | |
| 060514901 | Medicaid | TX | |
| 100049610A | Medicaid | OK | |
| Q31199 | Medicaid | SC | |
| 205030000 | Medicaid | MO | |
| 009913010 | Medicaid | AL | |
| 104699550 | Medicaid | MI | |
| 422400000 | Medicaid | ME | |
| 1141236 00 | Medicaid | WY | |
| 7613394 | Medicaid | NC | |
| 00120392 | Medicaid | MS | |
| 3838358 | Medicaid | TN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | 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
- 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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136342001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558061",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "715419",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2612944",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6700179",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076112",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0527903",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060514901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100049610A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q31199",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205030000",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913010",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104699550",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422400000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1141236 00",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7613394",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120392",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3838358",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.