Individual provider Active NPI

Steven T Mast, MD

  • Interventional Cardiology Physician
  • Traverse City, MI
National Provider Identifier
1174522429
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
140260 Issued in MT
Practice address
1200 Sixth St
Suite 200
Traverse City, MI 49684-2369
Phone
(231) 935-5800
Fax
(231) 935-5799
NPI assigned
Jul 19, 2005
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301087485 MI
Interventional Cardiology Physician 207RI0011X 140260 MT Primary

Addresses

Primary practice location

1200 Sixth St
Suite 200
Traverse City, MI 49684-2369

Mailing address

2891 Momentum PL
Chicago, IL 60689-5328
Phone (231) 935-6080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smast1@direct.mhc.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070713000674 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7214987700 Reassigns benefits to 3 organizations
I20240503001488 MT Practitioner - Interventional Cardiology 7214987700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of California, San Diego School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Westshore Cardiology ServicesGroup PAC ID 5991932360, 36 clinicians

Practice addresses (Care Compare)

1223 Mercy Dr
Muskegon, MI 49444-1829
Phone (231) 672-3500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting38
Pacemaker insertion or repair27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140260MTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Charlevoix Hospital Current Accepting new patients
Mercy Health Westshore Cardiology Services Cardiovascular Disease CurrentSince Mar 1, 2025 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jan 16, 2013 Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 28, 2008 Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 28, 2008 Accepting new patients
Benefis Hospitals Inc CurrentSince Apr 19, 2024 Accepting new patients
Great Falls Clinic LLC CurrentSince Sep 19, 2024 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jan 16, 2013 Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients
Grand Traverse Heart Institute Past Accepting new patients
Benefis Hospitals, Inc. PastSince Apr 19, 2024 Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1212 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3500

1223 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-3177

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: smast1@direct.mhc.net

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1174522429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895328",
            "telephone_number": "231-935-6080",
            "fax_number": "231-935-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SIXTH ST",
            "address_2": "SUITE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842369",
            "telephone_number": "231-935-5800",
            "fax_number": "231-935-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "STEVEN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301087485",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "140260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smast1@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1200 Sixth St",
            "address_2": "Suite 200",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.