Individual provider Active NPI

Elizabeth Stuebing, MD

  • Surgical Critical Care Physician
  • Lexington, KY
National Provider Identifier
1992924724
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
59200 Issued in KY
Practice address
740 S Limestone Ste L119
Lexington, KY 40536-1647
Phone
(859) 257-3253
Fax
(859) 323-1203
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60299596 WA
Surgery Physician 208600000X LP00200 RI
Surgical Critical Care Physician 2086S0102X EMC000676 MI
Surgical Critical Care Physician 2086S0102X MD60299596 WA
Surgical Critical Care Physician 2086S0102X 59200 KY Primary

Addresses

Primary practice location

740 S Limestone Ste L119
Lexington, KY 40536-1647

Mailing address

1717 Shaffer St Ste 2
Kalamazoo, MI 49048-1623

Other practice location 1

1330 Rockefeller Ave
Everett, WA 98201-1684
Phone (425) 259-0966

Other practice location 2

1321 Colby Ave
Everett, WA 98201
Phone (425) 261-2000

Other practice location 3

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 501-3500

Other practice location 4

1717 Shaffer St
Kalamazoo, MI 49048-1647
Phone (269) 552-5456

Other identifiers 2

IdentifierTypeStateIssuer
EMC0000676OtherMISTATE LICENSE
MD60299596OtherWASTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL estubing@peacehealth.org
Direct Messaging Address estuebing142431@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210114002963 MI Practitioner - Emergency Medicine 6204085921 Reassigns benefits to 1 organization
I20240515003385 KY Practitioner - General Surgery 6204085921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP00200RIMDSurgery Physician
EMC000676MIMDSurgical Critical Care Physician
MD60299596WAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Jun 2, 2021 Accepting new patients
Kentucky Medical Services Foundation, Inc Surgery CurrentSince Apr 24, 2024 Accepting new patients
University of Kentucky CurrentSince Apr 24, 2024 Accepting new patients
Promed Healthcare CurrentSince Dec 11, 2020 Accepting new patients
Ascension Medical Group Promed Surgery Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Ascension Medical Group Promed CurrentSince Dec 11, 2020 Accepting new patients
University of Kentucky Past Accepting new patients

Locations

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1717 Shaffer St
Ste 002
Kalamazoo, MI 49048

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

Interoperability endpoints

  • Direct secure messaging: estuebing142431@wm.providencedirect.org
  • Direct secure messaging: estuebing340181@ukhcdirect.org
  • Direct secure messaging: estuebing439078@direct.peacehealth.org

Organizations & group practices 8

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 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1992924724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST STE 2",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE L119",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405361647",
            "telephone_number": "859-257-3253",
            "fax_number": "859-323-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Rockefeller Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011684",
            "country_code": "US",
            "telephone_number": "425-259-0966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 Colby Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "98201",
            "country_code": "US",
            "telephone_number": "425-261-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-501-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Shaffer St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481647",
            "country_code": "US",
            "telephone_number": "269-552-5456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUEBING",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60299596",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "LP00200",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "EMC000676",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WA",
            "license": "MD60299596",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KY",
            "license": "59200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "EMC0000676",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD60299596",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "estubing@peacehealth.org",
            "affiliation": "N",
            "address_1": "1615 Delaware St",
            "city": "Longview",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986322367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estuebing142431@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1321 Colby Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.