ERIC STOUTENBURG MD, PHD
NPI 1790573467
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Q: What is Eric Stoutenburg's NPI number?

The NPI number for Eric Stoutenburg is 1790573467. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Eric Stoutenburg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Stoutenburg was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 30, 2025PECOS Enrolled

100 EASTOWNE DR, CHAPEL HILL, NC 27514(984) 974-1000 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, May 21, 2025, May 12, 2025 (3 updates tracked since 2025).

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About Eric Stoutenburg Md, Phd NPPES

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

ERIC STOUTENBURG MD, PHD (NPI 1790573467) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (RTL25-0724) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790573467

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameERIC STOUTENBURGCredential: MD, PHD

Location Address100 EASTOWNE DRChapel Hill, NC 27514-2286

Mailing Address100 Eastowne DrChapel Hill, NC 27514-2286 · (585) 750-2963

Phone(984) 974-1000

Sole ProprietorNo

Enumeration DateApril 30, 2025

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1790573467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · RTL25-0724

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.

100 EASTOWNE DR, Chapel Hill, NC 27514

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Stoutenburg Md, Phd 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.