Individual provider Active NPI

Stacey Marie Lindo-Ukata, M.D.

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1952561839
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2014-01592 Issued in NC
Practice address
11001 Durant Rd Ste 100
Raleigh, NC 27614-8390
Phone
(919) 781-2500
Fax
(910) 781-9247
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2014-01592 NC Primary

Addresses

Primary practice location

11001 Durant Rd Ste 100
Raleigh, NC 27614-8390

Mailing address

11001 Durant Rd Ste 100
Raleigh, NC 27614-8390
Phone (919) 781-2500

Other identifiers 3

IdentifierTypeStateIssuer
003125861AMedicaidGA
67500OtherGAGA LIC NUMBER
2014-01592OtherNCNC LICENSE

Other names 1

  • Stacey Marie Lindo Former name

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
I20141020000737 NC Practitioner - Obstetrics/Gynecology 6608022371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

507 N Brightleaf Blvd
Smithfield, NC 27577-4405

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-7558

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2076 Veterans Pkwy
Ste 250
Clayton, NC 27520
Phone (919) 550-3334

4300 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 608-3078

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

507 N Brightleaf Blvd
Ste 102
Smithfield, NC 27577
Phone (919) 938-4040

300 S 3rd St
Ste C
Smithfield, NC 27577
Phone (919) 938-4040

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.

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952561839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 DURANT RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148390",
            "telephone_number": "919-781-2500",
            "fax_number": "910-781-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 DURANT RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148390",
            "telephone_number": "919-781-2500",
            "fax_number": "910-781-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDO-UKATA",
        "first_name": "STACEY",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2014-01592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003125861A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LIC NUMBER",
            "identifier": "67500",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "2014-01592",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "LINDO",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.