Individual provider Active NPI

Roger Charles Stevenson, M.D

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1396776803
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10000561 Issued in DE
Practice address
1941 Limestone Rd
Suite 114
Wilmington, DE 19808-5400
Phone
(302) 992-0500
Fax
(302) 993-2444
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10000561 DE Primary

Addresses

Primary practice location

1941 Limestone Rd
Suite 114
Wilmington, DE 19808-5400

Mailing address

PO Box 5030
Wilmington, DE 19808-0030
Phone (302) 992-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10000561DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Group LLC CurrentSince Mar 1, 2013 Accepting new patients
Delaware Diagnostic Services, Inc. CurrentSince May 1, 2004 Accepting new patients

Locations

4512 Kirkwood Hwy
Ste 202
Wilmington, DE 19808
Phone (302) 892-6200

1941 Limestone Rd
Ste 109
Wilmington, DE 19808
Phone (302) 922-0503

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1396776803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5030",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198080030",
            "telephone_number": "302-992-0500",
            "fax_number": "302-993-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD",
            "address_2": "SUITE 114",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085400",
            "telephone_number": "302-992-0500",
            "fax_number": "302-993-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ROGER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10000561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.