Individual provider Active NPI

Jamie Hugh Stone, M.D.

  • Internal Medicine Physician
  • Niles, MI
National Provider Identifier
1134563166
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01076696A Issued in IN
Practice address
1915 High MDW N
Niles, MI 49120-8668
Phone
(574) 387-7616
NPI assigned
Apr 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01076696A IN Primary

Addresses

Primary practice location

1915 High MDW N
Niles, MI 49120-8668

Mailing address

1915 High MDW N
Niles, MI 49120-8668
Phone (574) 387-7616

Other practice location 1

5838 W Brick Rd
Ste 106
South Bend, IN 46628-8423
Phone (574) 247-1911

Other practice location 2

211 N Eddy St
South Bend, IN 46617-3096
Phone (574) 234-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160616001962 IN Practitioner - Internal Medicine 5395050025

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1134563166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HIGH MDW N",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491208668",
            "telephone_number": "574-387-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HIGH MDW N",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491208668",
            "telephone_number": "574-387-7616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5838 W Brick Rd",
            "address_2": "Ste 106",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466288423",
            "country_code": "US",
            "telephone_number": "574-247-1911",
            "fax_number": "574-247-1912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N Eddy St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466173096",
            "country_code": "US",
            "telephone_number": "574-234-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "JAMIE",
        "middle_name": "HUGH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01076696A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, MI

Sources for this page

Verify at the official NPI Registry.