Active NPI
Jamie Hugh Stone, M.D.
- Internal Medicine Physician
- Niles, MI
National Provider Identifier
1134563166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01076696A
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.