Individual provider Active NPI

Christine Renee Stehman, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1063485746
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01060979A Issued in IN
Practice address
1701 North Senate Blvd
Suite Dg412
Indianapolis, IN 46202-1239
Phone
(317) 962-3886
Fax
(317) 963-5492
NPI assigned
Feb 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125055620 IL
Emergency Medicine Physician 207P00000X 249860 MA
Emergency Medicine Physician 207P00000X 01060979A IN Primary
Surgical Critical Care Physician 2086S0102X 249860 MA
General Practice Physician 208D00000X 01060979A IN

Addresses

Primary practice location

1701 North Senate Blvd
Suite Dg412
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Ste 130 - Provider Enrollment
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
201040050MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111028000000 IN Practitioner - Emergency Medicine 0143493635 Reassigns benefits to 3 organizations
I20201118002301 IL Practitioner - Emergency Medicine 0143493635 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125055620ILMDEmergency Medicine Physician
249860MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center CurrentSince Nov 15, 2020 Accepting new patients
Icem-Wishard LLC Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Saint Francis Medical Center CurrentSince Nov 15, 2020 Accepting new patients
South Bend Emergency Physicians, Inc Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 1, 2020 Accepting new patients
Saint Francis Medical Center CurrentSince Nov 15, 2020 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Indiana University Health Care Associates, Inc General Practice CurrentSince Aug 1, 2013 Accepting new patients
St Mary Medical Center CurrentSince Nov 15, 2020 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince Aug 1, 2013 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Maple City Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Stephen C. Thompson, M.D.,S.C. Past Accepting new patients

Locations

5911 Reliable Pkwy
Chicago, IL 60686

5208 Reliable Pkwy
Chicago, IL 60686

3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

3220 Beacon Pkwy
Granger, IN 46530
Phone (574) 647-8788

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1063485746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130 - PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NORTH SENATE BLVD",
            "address_2": "SUITE DG412",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-3886",
            "fax_number": "317-963-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHMAN",
        "first_name": "CHRISTINE",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-11",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125055620",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "249860",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01060979A",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "249860",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01060979A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201040050",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.