Active NPI
Samuel J Stepanow, MD
- Internal Medicine Physician
- Cranberry Township, PA
National Provider Identifier
1235249913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD036308E
- Practice address
- 213 Executive Drive
Suite 240
Cranberry Township, PA 16066 - Phone
- (724) 772-9797
- Fax
- (724) 772-3309
- NPI assigned
- Aug 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD036308E | PA | Primary |
| Internal Medicine Physician | 207R00000X | 25MA04886000 | NJ | |
| Internal Medicine Physician | 207R00000X | ME92867 | FL |
Addresses
Primary practice location
213 Executive Drive
Suite 240
Cranberry Township, PA 16066
Mailing address
213 Executive Drive
Suite 240
Cranberry Township, PA 16066
Phone (724) 772-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115037 | Other | PA | KEYSTONE HIGHMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20101019001132 | PA | Practitioner - Internal Medicine | 2961695267 | Practice locations: Cranberry Township, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
213 Executive Dr
Suite 240
Cranberry Township, PA 16066-6405
Phone (724) 772-9797
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92867 | FL | MD | Internal Medicine Physician |
| 25MA04886000 | NJ | MD | Internal Medicine Physician |
Interoperability endpoints
- samuel.stepanow@662297843007492.direct.elationemr.com
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1952311508
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1225047699
-
dba AHN Wexford Hospital
- General Acute Care Hospital
- Wexford, PA
- NPI 1588269898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235249913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 EXECUTIVE DRIVE",
"address_2": "SUITE 240",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "16066",
"telephone_number": "724-772-9797",
"fax_number": "724-772-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 EXECUTIVE DRIVE",
"address_2": "SUITE 240",
"city": "CRANBERRY TOWNSHIP",
"state": "PA",
"postal_code": "16066",
"telephone_number": "724-772-9797",
"fax_number": "724-772-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPANOW",
"first_name": "SAMUEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD036308E",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04886000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME92867",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HIGHMARK",
"identifier": "115037",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.