Individual provider Active NPI

Thomas E Stephens, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1073511697
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0008395 Issued in DE
Practice address
1802 W 4TH St
Wilmington, DE 19805
Phone
(302) 652-2455
Fax
(302) 322-6251
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1-0008395 DE Primary

Addresses

Primary practice location

1802 W 4TH St
Wilmington, DE 19805

Mailing address

PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20070806000786 DE Practitioner - Family Practice 0042246340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Family Healthcare, Inc.Group PAC ID 6800706599, 58 clinicians

Practice addresses (Care Compare)

1802 W 4TH St
Wilmington, DE 19805-3420
Phone (302) 655-5576

27 Marrows Rd
Newark, DE 19713-3701
Phone (302) 455-0900

908 E 16TH St
Suite B
Wilmington, DE 19802-5145
Phone (302) 575-1414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0008395DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc. Current Accepting new patients
Westside Family Healthcare, Inc CurrentSince Jun 5, 2016 Accepting new patients
Westside Family Healthcare, Inc. Past Accepting new patients

Locations

404 Foxhunt Dr
Bear, DE 19701
Phone (302) 832-8331

1020 Forrest Ave
Dover, DE 19904
Phone (302) 656-8292

27 Marrows Rd
Newark, DE 19713
Phone (302) 455-0900

908 E 16th St
Ste B
Wilmington, DE 19802
Phone (302) 225-1800

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

Interoperability endpoints

  • Direct secure messaging: thomasstephens@wfh.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Westside Family Healthcare, Inc.Wilmington, DE, CCN 081803 Federally qualified health center Corporate Officer
W-2 Managing Employee
Aug 31, 2009
Aug 31, 2009
Westside Family Healthcare, Inc.Newark, DE, CCN 081804 Federally qualified health center Corporate Officer
W-2 Managing Employee
Aug 31, 2009
Aug 31, 2009
Westside Family Healthcare, Inc.Wilmington, DE, CCN 081802 Federally qualified health center Corporate Officer
W-2 Managing Employee
Aug 31, 2009
Aug 31, 2009
Westside Family Healthcare, Inc.Bear, DE, CCN 081810 Federally qualified health center Corporate Officer
W-2 Managing Employee
Aug 31, 2009
Aug 31, 2009
Westside Family Healthcare, Inc.Dover, DE, CCN 081811 Federally qualified health center Corporate Officer
W-2 Managing Employee
Aug 31, 2009
Aug 31, 2009

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1073511697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197200151",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W 4TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0008395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.