Individual provider Active NPI

Peter Stefanski, M.D.

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1346576758
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R70206 Issued in AZ
Practice address
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone
(602) 923-5622
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R70206 AZ Primary

Addresses

Primary practice location

3929 E Bell Rd
Phoenix, AZ 85032-2112

Mailing address

944B S Ash Ave
Tempe, AZ 85281-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 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
I20110803000840 AZ Practitioner - Emergency Medicine 6901075175 Reassigns benefits to 4 organizations
I20230130000420 OR Practitioner - Emergency Medicine 6901075175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Southwest PCGroup PAC ID 2264538529, 96 clinicians

Practice addresses (Care Compare)

5330 S Hwy 95
Fort Mohave, AZ 86426-9225
Phone (928) 788-2273

Hospital & facility affiliations

  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R70206AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Arizona Inc Emergency Medicine Current Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Nov 24, 2024 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Nes Arizona Inc Emergency Medicine CurrentSince Sep 5, 2020 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Dec 23, 2021 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Oct 11, 2022 Accepting new patients
Emurgent Care PLLC Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

7300 State Highway 121
Ste 374
McKinney, TX 75070

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1346576758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944B S ASH AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322112",
            "telephone_number": "602-923-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANSKI",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R70206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.