LUCINEI GERALDO STADNIK MD
NPI 1104765593
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since March 28, 2026PECOS Enrolled
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5872 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucinei Geraldo Stadnik Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCINEI GERALDO STADNIK MD (NPI 1104765593) is an individual student in an organized health care education/training program in Pueblo, Colorado, licensed in Colorado (NO) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104765593
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUCINEI GERALDO STADNIKCredential: MD
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing Address902 Lakeview AvePueblo, CO 81004-3597 · (719) 557-5872
Sole ProprietorNo
Enumeration DateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
NPI 1104765593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · NO
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
902 LAKEVIEW AVE, Pueblo, CO 81004

Other Names 1

Professional Name (2)Luc Stadnik Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lucinei Geraldo Stadnik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Nurse Practitioner (Acute Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucinei Stadnik's NPI number?

The NPI number for Lucinei Stadnik is 1104765593. It was assigned to this individual provider in the NPPES registry on March 28, 2026. The provider is also known as Luc Stadnik MD.

Where is Lucinei Stadnik located?

Lucinei Stadnik practices at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5872.

What is Lucinei Stadnik's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lucinei Stadnik enrolled in Medicare?

Yes. Lucinei Stadnik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lucinei Stadnik was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.