Active NPI
Yevgeniy G Stefadu, M.D., PH.D
- Sleep Medicine (Internal Medicine) Physician
- Sterling HTS, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 4301074792
- Practice address
- 3058 Metropolitan Pkwy
#108
Sterling HTS, MI 48310-3671 - Phone
- (586) 268-0100
- Fax
- (586) 268-5818
- NPI assigned
- Feb 28, 2006
- Last updated
- Nov 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301074792 | MI | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 4301074792 | MI | Primary |
Addresses
Primary practice location
3058 Metropolitan Pkwy
#108
Sterling HTS, MI 48310-3671
Mailing address
5215 Crowfoot Dr
Troy, MI 48085-4095
Phone (248) 709-6158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316913270 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2191 S Blvd
Suite 201
Auburn Hills, MI 48326-3481
Phone (248) 418-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Sleep Medicine Institute PLC | Sleep Medicine | Current | Accepting new patients |
| Physician Healthcare Network, PC | Past | Accepting new patients | |
| Advanced Pulmonary & Sleep Associates PC | Past | Accepting new patients | |
| Consultants in Sleep & Pulmonary Medicine PLLC | Sleep Medicine | Past | Accepting new patients |
| Asadulla Mohammed MD PC | Past | Accepting new patients |
Locations
2191 South Blvd
Auburn Hills, MI 48326
Phone (248) 724-1420
2191 South Blvd
Ste 102
Auburn Hills, MI 48326
Phone (248) 451-0668
2191 South Blvd
Ste 201
Auburn Hills, MI 48326
Phone (248) 418-2000
3058 Metropolitan Pkwy
Ste 108
Sterling Hts, MI 48310
Phone (586) 222-2961
Interoperability endpoints
- https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4
- ystefadu1152374@direct.hfhs.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.
-
- Sleep Medicine (Internal Medicine) Physician
- Sterling Heights, MI
- NPI 1295906741
-
- Pulmonary Disease Physician
- Dearborn, MI
- NPI 1487816419
-
- Pulmonary Disease Physician
- Berkley, MI
- NPI 1861797144
-
- Pulmonary Disease Physician
- Farmington Hills, MI
- NPI 1740353069
Sleep Medicine
-
- Urgent Care Clinic/Center
- Marysville, MI
- NPI 1093921074
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353196800000",
"number": "1316913270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 CROWFOOT DR",
"city": "TROY",
"state": "MI",
"postal_code": "480854095",
"telephone_number": "248-709-6158",
"fax_number": "586-268-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3058 METROPOLITAN PKWY",
"address_2": "#108",
"city": "STERLING HTS",
"state": "MI",
"postal_code": "483103671",
"telephone_number": "586-268-0100",
"fax_number": "586-268-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFADU",
"first_name": "YEVGENIY",
"middle_name": "G",
"credential": "M.D., PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2012-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301074792",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MI",
"license": "4301074792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316913270",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling HTS, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2012; 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.