John C Stevens

MD | Pediatric Pulmonology | Male

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Complete Profile:

John C Stevens basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	John C Stevens
Credential :	MD
Gender :	Male

Business Address:

John C Stevens address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Roc 4270 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-7208
Fax Number :	317-274-3442

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1053404947
NPI Entity Type :	Individual
First Enrolment Date :	02 Oct, 2006
Last Updated On :	18 Nov, 2020

Medicare Participation:

John C Stevens participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7618915588
Medicare Enrollment ID :	I20050420001381
Primary Specialty :	Pulmonary Disease
Medical School :	Indiana University School Of Medicine
Graduation Year :	1980
Accepts Medicare?	Yes. John C Stevens accepts medicare insurance.

Group Practice Association:

John C Stevens is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which John C Stevens is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John C Stevens are as mentioned. Primary taxonomy code for John C Stevens, MD is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	01030272	IN

Legacy Identifiers:

Other legacy medical identifiers of John C Stevens such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1801852	MEDICAID	LA
000000354898	Other		ANTHEM-DEAC-350593390
350593390-042	Other		TRICARE-DEAC-350593390
350593390	Other		UPA-237328642
64880370	MEDICAID	KY
100227810	MEDICAID	IN
1053404947	MEDICAID	MI

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1026 Indianapolis, IN, 46206-1026 United States
Phone Number :	317-274-1201
Fax Number :	317-278-9905

Business Location:

Patients can refer following map for directions to John C Stevens practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.