Individual provider Active NPI

Stefan Charles Grant, M.D.

  • Hematology & Oncology Physician
  • New Orleans, LA
National Provider Identifier
1407979032
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
335796 Issued in LA
Practice address
1430 Tulane Ave # 8016
New Orleans, LA 70112-2632
Phone
(504) 988-7518
Fax
(504) 988-8252
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2014-02170 NC
Internal Medicine Physician 207R00000X EMC0009652 MI
Hematology (Internal Medicine) Physician 207RH0000X EMC0009652 MI
Medical Oncology Physician 207RX0202X EMC0009652 MI
Hematology & Oncology Physician 207RH0003X 335796 LA Primary
Hematology & Oncology Physician 207RH0003X 30801 AL

Addresses

Primary practice location

1430 Tulane Ave # 8016
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave # 8016
New Orleans, LA 70112-2632
Phone (504) 988-7518

Other practice location 1

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

Other practice location 2

31995 Northwestern Hwy
Farmington Hills, MI 48334-1625
Phone (248) 538-4701

Other identifiers 9

IdentifierTypeStateIssuer
051116824OtherALBCBS
051116827OtherALBCBS
128723MedicaidAL
128725MedicaidAL
051116826OtherALBCBS
09003745MedicaidMS
051116825OtherALBCBS
128724MedicaidAL
128760MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230615001795 LA Practitioner - Hematology/OncologyPractitioner - Medical Oncology 0749450831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

150 S Liberty St
New Orleans, LA 70112-2618
Phone (504) 988-6300

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
335796LAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Mar 4, 2023 Accepting new patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Administrators of the Tulane Education Fund CurrentSince Mar 4, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

4204 Houma Blvd
Fl 3
Metairie, LA 70006
Phone (504) 454-1724

4224 Houma Blvd
Ste 640
Metairie, LA 70006
Phone (504) 456-5120

4204 Houma Blvd
Ste 2
Metairie, LA 70006
Phone (504) 503-5426

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

150 S Liberty St
New Orleans, LA 70112
Phone (504) 988-6300

1430 Tulane Ave
#8078
New Orleans, LA 70112
Phone (504) 988-1236

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8016
New Orleans, LA 70112
Phone (504) 988-1332

2000 Canal St
Fl 4
New Orleans, LA 70112

Interoperability endpoints

  • Direct secure messaging: sgrant240680@direct.metrohealth.org

Organizations & group practices 4

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 5

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1407979032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8016",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7518",
            "fax_number": "504-988-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8016",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7518",
            "fax_number": "504-988-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012013",
            "country_code": "US",
            "telephone_number": "800-527-6266",
            "fax_number": "313-576-8627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31995 Northwestern Hwy",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483341625",
            "country_code": "US",
            "telephone_number": "248-538-4701",
            "fax_number": "248-537-4761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "STEFAN",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2014-02170",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "EMC0009652",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MI",
            "license": "EMC0009652",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "EMC0009652",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "335796",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "30801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051116824",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051116827",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128723",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128725",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051116826",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09003745",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051116825",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128724",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128760",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.