Active NPI
Thomas E Stephens, MD
- Family Medicine Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C1-0008395
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0008395 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| Westside Family Healthcare, Inc | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Westside Family Healthcare, Inc. | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Aug 31, 2009 Aug 31, 2009 |
| Westside Family Healthcare, Inc. | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Aug 31, 2009 Aug 31, 2009 |
| Westside Family Healthcare, Inc. | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Aug 31, 2009 Aug 31, 2009 |
| Westside Family Healthcare, Inc. | Federally qualified health center | Corporate Officer W-2 Managing Employee |
Aug 31, 2009 Aug 31, 2009 |
| Westside Family Healthcare, Inc. | 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.
-
- Federally Qualified Health Center (FQHC)
- Newark, DE
- NPI 1801898556
Corporate Officer, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Bear, DE
- NPI 1821232869
Corporate Officer, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Dover, DE
- NPI 1588952618
Corporate Officer, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1669479929
Corporate Officer, W-2 Managing Employee
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
Corporate Officer, W-2 Managing Employee
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.
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
-
- Federally Qualified Health Center (FQHC)
- Newark, DE
- NPI 1801898556
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1669479929
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.