Individual provider Active NPI

Michael L Steckman, MD

  • Gastroenterology Physician
  • Kingston, NY
National Provider Identifier
1285615823
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1395141 Issued in NY
Practice address
159 Pearl St
Kingston, NY 12401-5313
Phone
(845) 399-7719
NPI assigned
Nov 10, 2005
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0095680 MD
Gastroenterology Physician 207RG0100X 1395141 NY Primary
Gastroenterology Physician 207RG0100X ME161091 FL
Gastroenterology Physician 207RG0100X 101276907 VA

Addresses

Primary practice location

159 Pearl St
Kingston, NY 12401-5313

Mailing address

159 Pearl St
Kingston, NY 12401-5313
Phone (845) 399-7719

Other identifiers 1

IdentifierTypeStateIssuer
00758530MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 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
I20060919000521 NY Practitioner - Gastroenterology 0244235513 Reassigns benefits to 2 organizations
I20230106002819 MD Practitioner - Gastroenterology 0244235513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Medical Group, PLLCGroup PAC ID 6901104157, 38 clinicians

Practice addresses (Care Compare)

111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187

6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-3001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161091FLMDGastroenterology Physician
D0095680MDMDGastroenterology Physician
1395141NYMDGastroenterology Physician
101276907VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Gastroenterology Current Accepting new patients
Northern Medical Group, PLLC Gastroenterology CurrentSince Sep 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Dec 15, 2022 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Nov 18, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Dec 15, 2022 Accepting new patients

Locations

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000

2101 E Jefferson St
#4E
Rockville, MD 20852

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

400 Westage Business Ctr Dr
Ste 202
Fishkill, NY 12524
Phone (845) 896-0736

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA
  • Direct secure messaging: msteckman@hiemail.healtheconnections.org

Organizations & group practices 5

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 1

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1285615823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 PEARL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015313",
            "telephone_number": "845-399-7719",
            "fax_number": "845-331-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 PEARL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015313",
            "telephone_number": "845-399-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKMAN",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0095680",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1395141",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME161091",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "101276907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00758530",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "26 Pearl Street",
            "city": "Kingston",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.