Individual provider Active NPI

Yevgeniy G Stefadu, M.D., PH.D

  • Sleep Medicine (Internal Medicine) Physician
  • Sterling HTS, MI
National Provider Identifier
1316913270
Registry record updated Nov 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
4301074792 Issued in MI
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1316913270MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000146 MI Practitioner - Sleep Medicine 5496642159 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Great Lakes Sleep Medicine Institute PLC Sleep Medicine CurrentSince May 1, 2005 Accepting new patients
Physician Healthcare Network, PC Past Accepting new patients
Advanced Pulmonary & Sleep Associates PC PastSince Aug 1, 2008 Accepting new patients
Consultants in Sleep & Pulmonary Medicine PLLC Sleep Medicine PastSince Feb 1, 2015 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

  • FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.