Individual provider Active NPI

Stephanie A Brazus, M.D.

  • Obstetrics & Gynecology Physician
  • Noblesville, IN
National Provider Identifier
1407833882
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01045567 Issued in IN
Practice address
355 Westfield Rd
100
Noblesville, IN 46060-1443
Phone
(317) 773-5876
Fax
(317) 776-0363
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01045567 IN Primary

Addresses

Primary practice location

355 Westfield Rd
100
Noblesville, IN 46060-1443

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other identifiers 3

IdentifierTypeStateIssuer
000000355759OtherANTHEM
200270200MedicaidIN
Q0084550OtherSHO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbrazus791484@DirectC.mercy.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050321000855 IN Practitioner - Obstetrics/Gynecology 8921053109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

355 Westfield Rd
100 Noblesville OB/GYN
Noblesville, IN 46060-1442
Phone (317) 773-5876

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Riverview Hospital CurrentSince Apr 1, 2005 Accepting new patients
Riverview Hospital CurrentSince Apr 1, 2005 Accepting new patients
Major Hospital Past Accepting new patients

Locations

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

355 Westfield Rd
Ste 100
Noblesville, IN 46060
Phone (317) 770-6085

Interoperability endpoints

  • Direct secure messaging: sbrazus791484@directc.mercy.net

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 and National Provider Directory roles.

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1407833882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 WESTFIELD RD",
            "address_2": "100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601443",
            "telephone_number": "317-773-5876",
            "fax_number": "317-776-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZUS",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01045567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000355759",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270200",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHO",
            "identifier": "Q0084550",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrazus791484@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "355 Westfield Rd",
            "address_2": "100",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460601443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.