Individual provider Active NPI

Steven Michael Lange, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1396274254
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A175894 Issued in CA
Practice address
150 W Washington St
San Diego, CA 92103-2005
Phone
(858) 658-6500
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A175894 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

150 W Washington St
San Diego, CA 92103-2005

Mailing address

16004 86TH St
Howard Beach, NY 11414-3030
Phone (718) 514-3223

Other practice location 1

222 Station Plz N Ste 509
Mineola, NY 11501-3893
Phone (516) 663-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231122003231 CA Practitioner - Diagnostic Radiology 0648521435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Practice addresses (Care Compare)

150 W Washington St
San Diego, CA 92103-2005
Phone (619) 295-9729

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175894CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150

4150 Regents Park Row
Ste 195
La Jolla, CA 92037
Phone (858) 622-6464

2427 Transportation Ave
National City, CA 91950

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

3601 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 631-7505

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

1809 National Ave
Ste 2104
San Diego, CA 92113

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

2 Meridian Blvd
Fl 3
Wyomissing, PA 19610
Phone (610) 372-4957

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1396274254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16004 86TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143030",
            "telephone_number": "718-514-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "858-658-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Station Plz N Ste 509",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013893",
            "country_code": "US",
            "telephone_number": "516-663-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A175894",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.