Individual provider Active NPI

Mary M Stephens, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1265418073
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD060197L Issued in PA
Practice address
3 Crescent Dr
Philadelphia, PA 19112-1016
Phone
(215) 503-7136
NPI assigned
Dec 22, 2005
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD060197L PA Primary

Addresses

Primary practice location

3 Crescent Dr
Philadelphia, PA 19112-1016

Mailing address

3 Crescent Dr
Philadelphia, PA 19112-1016
Phone (215) 503-7136

Other practice location 1

501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 320-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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
I20070910000261 DE Practitioner - Family Practice 6305837956 Reassigns benefits to 2 organizations
I20181030000616 PA Practitioner - Family Practice 6305837956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Suite 100B
Wilmington, DE 19803-2764
Phone (302) 477-3300

3 Crescent Dr
Suite 100
Philadelphia, PA 19112-1016
Phone (215) 955-2392

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060197LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Family Medicine Current Accepting new patients
Jefferson University Physicians Family Medicine CurrentSince Sep 9, 2018 Accepting new patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Sep 10, 2007 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 10, 2007 Accepting new patients
Methodist Associates in Healthcare, Inc PastSince Nov 5, 2023 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Medical Education Assistance Corporation Family Medicine PastSince Aug 1, 2015 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

3 Crescent Dr
Ste 100
Philadelphia, PA 19112
Phone (215) 503-3300

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 9

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 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1265418073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CRESCENT DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121016",
            "telephone_number": "215-503-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CRESCENT DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121016",
            "telephone_number": "215-503-7136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011013",
            "country_code": "US",
            "telephone_number": "302-320-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD060197L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.