NPIMap

Individual provider Active NPI

Stephen Bernard Grant, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Clive, IA
National Provider Identifier
1013026798
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD-38506 Issued in IA
Practice address
1449 NW 128TH St
Clive, IA 50325-7400
Phone
(515) 358-9600
Fax
(515) 358-9650
NPI assigned
Aug 29, 2006
Last updated
May 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD) 173F00000X 38506 IA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD-38506 IA Primary

Addresses

Primary practice location

1449 NW 128TH St
Clive, IA 50325-7400

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-9600

Other identifiers 1

IdentifierTypeStateIssuer
0167122MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000425 IA Practitioner - Sleep MedicinePractitioner - Internal Medicine 2860456035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
University of Colorado School of Medicine, Denver, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians
Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians

Practice addresses (Care Compare)

1449 NW 128TH St
100 Mercyone Clive Sleep Medicine Clinic
Clive, IA 50325-7425
Phone (515) 358-9600

150 Mercy Dr
Mercyone Dubuque Cancer Center
Dubuque, IA 52001-7320
Phone (563) 589-8024

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38506IAMDSleep Specialist (PhD)
MD-38506IAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Sleep Medicine CurrentSince May 22, 2019 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince May 22, 2019 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jun 3, 2024 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jun 3, 2024 Accepting new patients
Iowa Sleep Disorders Center, P.C. PastSince Aug 3, 2009 Accepting new patients
Sleep Innovations PLLC Past Accepting new patients

Locations

1449 NW 128th St
Clive, IA 50325
Phone (515) 358-9600

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

300 N 4th Ave E
Ste 222
Newton, IA 50208
Phone (515) 358-0011

Interoperability endpoints

  • Direct secure messaging: sgrant3945868@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1013026798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-358-9600",
            "fax_number": "515-358-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 NW 128TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257400",
            "telephone_number": "515-358-9600",
            "fax_number": "515-358-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "STEPHEN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "IA",
            "license": "38506",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IA",
            "license": "MD-38506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167122",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.