Individual provider Active NPI

Stephanie D Marshall, DO

  • Cardiovascular Disease Physician
  • Merrillville, IN
National Provider Identifier
1124002738
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
02001947A Issued in IN
Practice address
8684 Connecticut St Ste a
Merrillville, IN 46410-5581
Phone
(192) 472-8990
Fax
(219) 472-0270
NPI assigned
Dec 6, 2005
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036-099475 IL
Interventional Cardiology Physician 207RI0011X 02001947A IN
Cardiovascular Disease Physician 207RC0000X 0102210376 VA
Cardiovascular Disease Physician 207RC0000X 02001947A IN Primary

Addresses

Primary practice location

8684 Connecticut St Ste a
Merrillville, IN 46410-5581

Mailing address

8684 Connecticut St Ste a
Merrillville, IN 46410-5581
Phone (219) 472-8990

Other practice location 1

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 584-2273

Other identifiers 2

IdentifierTypeStateIssuer
000000375757OtherINANTHEM PIN
200270150MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VT, MI, PA, WI, MS6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20050802001378 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527024397 Reassigns benefits to 2 organizations
I20221201001372 VT Practitioner - Cardiovascular Disease (Cardiology) 8527024397 Reassigns benefits to 2 organizations
I20230921003035 MI Practitioner - Cardiovascular Disease (Cardiology) 8527024397 Reassigns benefits to 3 organizations
I20251107004243 PA Practitioner - Cardiovascular Disease (Cardiology) 8527024397 Reassigns benefits to 2 organizations
I20251110003249 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527024397 Reassigns benefits to 1 organization
I20260102001567 MS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527024397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

206 E 86TH PL
Merrillville, IN 46410-6258
Phone (708) 646-7430

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

4909 Great River Dr
Meridian, MS 39305-2664
Phone (601) 282-8980

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099475ILMDInterventional Cardiology Physician
02001947AINMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Oct 19, 2023 Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
North Country Hospital & Health Center Inc Cardiovascular Disease CurrentSince Oct 3, 2022 Accepting new patients
McLaren Central Michigan Current Accepting new patients
North Country Hospital & Health Center Inc Current Accepting new patients
McLaren Northern Michigan CurrentSince Sep 11, 2023 Accepting new patients
McLaren Medical Group Interventional Cardiology CurrentSince Oct 19, 2023 Accepting new patients
Gslpg, Inc CurrentSince Sep 19, 2025 Accepting new patients
North Country Hospital & Health Center Inc CurrentSince Oct 3, 2022 Accepting new patients
Community Home Physicians, LLC CurrentSince Jan 7, 2023 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Sep 19, 2025 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Oct 29, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
McLaren Central Michigan CurrentSince Sep 11, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 19, 2025 Accepting new patients
Queen of Hearts Cardiovascular & Family Healthcare LLC Cardiovascular Disease CurrentSince May 31, 2021 Accepting new patients
McLaren Northern Michigan CurrentSince Sep 11, 2023 Accepting new patients
Cardiac Imaging Inc CurrentSince Sep 9, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Sep 11, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Oct 29, 2025 Accepting new patients
Cardiovascular Institute of the South, LLC Cardiovascular Disease CurrentSince Dec 22, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

206 E 86th Pl
Merrillville, IN 46410
Phone (219) 738-2722

8684 Connecticut St
Ste A
Merrillville, IN 46410
Phone (219) 769-8630

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

560 W Mitchell St
Ste 402
Petoskey, MI 49770
Phone (231) 487-4760

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

1469 8th Ave
Bethlehem, PA 18018
Phone (610) 419-7800

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1532 Park Ave
Ste 105
Quakertown, PA 18951
Phone (267) 424-8100

3 Life Mark Dr
Ste D
Sellersville, PA 18960
Phone (215) 257-1127

186 Medical Village Dr
Newport, VT 05855
Phone (802) 334-3520

186 Medical Village Dr
#1
Newport, VT 05855
Phone (802) 334-3262

189 Prouty Dr
Newport, VT 05855
Phone (802) 334-3569

500 Wind Ridge Dr
Wausau, WI 54401

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4a15a283-6747-4ef7-984f-ce0e904fd6f0/
  • Direct secure messaging: smarshall440372@direct.aspirus.org

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1124002738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8684 CONNECTICUT ST STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105581",
            "telephone_number": "219-472-8990",
            "fax_number": "219-472-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8684 CONNECTICUT ST STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105581",
            "telephone_number": "192-472-8990",
            "fax_number": "219-472-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-584-2273",
            "fax_number": "434-584-6011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-099475",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "02001947A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0102210376",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02001947A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000375757",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.