Individual provider Active NPI

Theodore Alexander Stephens, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1396842076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D41399 Issued in MD
Practice address
1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415
Phone
(410) 284-5210
Fax
(410) 282-5062
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D41399 MD Primary

Addresses

Primary practice location

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415

Mailing address

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3415
Phone (410) 284-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070625000670 MD Practitioner - Internal Medicine 9133228661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Edwards and Stephens LTDGroup PAC ID 2961501499, 2 clinicians

Practice addresses (Care Compare)

1005 N Point Blvd
Suite 724
Baltimore, MD 21224-3473
Phone (410) 284-5210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umez Podiatry, P.a. CurrentSince Dec 4, 2019 Accepting new patients

Locations

1005 N Point Blvd
Ste 724
Baltimore, MD 21224
Phone (410) 284-5210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20801/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396842076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N POINT BLVD",
            "address_2": "SUITE 724",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243415",
            "telephone_number": "410-284-5210",
            "fax_number": "410-282-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N POINT BLVD",
            "address_2": "SUITE 724",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243415",
            "telephone_number": "410-284-5210",
            "fax_number": "410-282-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "THEODORE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D41399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.