Individual provider Active NPI

Michael Benjamin Stone, MD

  • Emergency Medicine Physician
  • Beaverton, OR
National Provider Identifier
1043201262
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD176863 Issued in OR
Practice address
5770 SW Elm Ave
Beaverton, OR 97005-4223
Phone
(503) 782-9690
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 56485 KY
Emergency Medicine Physician 207P00000X 242879 NY
Emergency Medicine Physician 207P00000X A82073 CA
Emergency Medicine Physician 207P00000X MD176863 OR Primary

Addresses

Primary practice location

5770 SW Elm Ave
Beaverton, OR 97005-4223

Mailing address

5770 SW Elm Ave
Beaverton, OR 97005-4223
Phone (503) 782-9690

Other practice location 1

1411 E 31st St
Department of Emergency Medicine
Oakland, CA 94602-1018
Phone (510) 437-4564

Other practice location 2

535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone (859) 439-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260223004016 OR Order and Referring Only - General PracticePractitioner - Emergency MedicinePractitioner - General Practice 0143275016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: michael.stone@802730276159492.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1043201262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 SW ELM AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054223",
            "telephone_number": "503-782-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 SW ELM AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054223",
            "telephone_number": "503-782-9690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 E 31st St",
            "address_2": "Department of Emergency Medicine",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946021018",
            "country_code": "US",
            "telephone_number": "510-437-4564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Wellington Way Ste 330",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031331",
            "country_code": "US",
            "telephone_number": "859-439-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "56485",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "242879",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A82073",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD176863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.