Individual provider Active NPI

Stephen S Flitman, M.D.

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1023018223
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20626 Issued in AZ
Practice address
2601 N 3Rd St
Ste 125
Phoenix, AZ 85004-1104
Phone
(602) 265-6500
Fax
(602) 265-6586
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20626 AZ Primary

Addresses

Primary practice location

2601 N 3Rd St
Ste 125
Phoenix, AZ 85004-1104

Mailing address

PO Box 15567
Phoenix, AZ 85060-5567
Phone (602) 265-6500

Other identifiers 1

IdentifierTypeStateIssuer
355489MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050405000960 AZ Practitioner - Neurology 7012964737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albany Medical College of Union University, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2601 N 3Rd St
Suite 125
Phoenix, AZ 85004-1150
Phone (602) 265-6500

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20626AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xenoscience, Inc. Neurology CurrentSince Aug 1, 2006 Accepting new patients

Locations

2601 N 3rd St
Ste 125
Phoenix, AZ 85004
Phone (602) 234-2994

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.

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1023018223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15567",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605567",
            "telephone_number": "602-265-6500",
            "fax_number": "602-265-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N 3RD ST",
            "address_2": "STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041104",
            "telephone_number": "602-265-6500",
            "fax_number": "602-265-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLITMAN",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "20626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355489",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.