Active NPI
Michael Benjamin Stone, MD
- Emergency Medicine Physician
- Beaverton, OR
National Provider Identifier
1043201262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD176863
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260223004016 | OR | Order and Referring Only - 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.
- Credentials
- Doctor of Medicine
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.