Active NPI
Michael A Stein, M.D.
- Epilepsy Physician
- Phoenix, AZ
National Provider Identifier
1003836081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- 52554
- Practice address
- 240 W Thomas Rd # 404
Phoenix, AZ 85013 - Phone
- (602) 406-6262
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 52554 | AZ | |
| Neurology Physician | 2084N0400X | 036116388 | IL | |
| Epilepsy Physician | 2084E0001X | 52554 | AZ | Primary |
Addresses
Primary practice location
240 W Thomas Rd # 404
Phoenix, AZ 85013
Mailing address
240 W Thomas Rd # 404
Phoenix, AZ 85013-4407
Phone (602) 406-6262
Other practice location 1
1725 W Harrison St
#1106 (Univ. Neuro)
Chicago, IL 60612-3841
Phone (312) 942-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336-077434 | Other | IL | STATE CONTOLLED SUBSTANCE |
| 182299 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52554 | AZ | MD | Epilepsy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livi Medical Services LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1457667750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1003836081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W THOMAS RD # 404",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134407",
"telephone_number": "602-406-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W THOMAS RD # 404",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85013",
"telephone_number": "602-406-6262"
}
],
"practiceLocations": [
{
"address_1": "1725 W Harrison St",
"address_2": "#1106 (Univ. Neuro)",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123841",
"country_code": "US",
"telephone_number": "312-942-4500",
"fax_number": "312-942-2380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEIN",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "52554",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036116388",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "AZ",
"license": "52554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CONTOLLED SUBSTANCE",
"identifier": "336-077434",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182299",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.