Active NPI
Kenneth Hillel Shubin Stein, M.D.
- Internal Medicine Physician
- Westport, CT
National Provider Identifier
1437441987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 226900
- Practice address
- 55 Post Rd W
Westport, CT 06880-4235 - Phone
- (917) 905-7236
- Fax
- (917) 475-4703
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 226900 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | 69862 | CT |
Addresses
Primary practice location
55 Post Rd W
Westport, CT 06880-4235
Mailing address
55 Post Rd W FL 2
Westport, CT 06880-4235
Phone (917) 453-1081
Other practice location 1
3449 Post Rd
Southport, CT 06890-1399
Phone (917) 905-7236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190211002150 | NY | Order and Referring Only - Neurology | 2961740303 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226900 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortex Health PLLC | Current | Accepting new patients | |
| Atria Physician Practice New York, PC | Internal Medicine | Current | Accepting new patients |
Locations
36 E 57th St
Fl 5
New York, NY 10022
Phone (212) 600-2000
Interoperability endpoints
- kenneth.shubinstein@831466553606148.direct.elationemr.com
- https://api.platform.athenahealth.com/24265/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 and National Provider Directory roles.
-
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Southport, CT
- NPI 1801603576
-
- Internal Medicine Physician
- New York, NY
- NPI 1194487520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1437441987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 POST RD W FL 2",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804235",
"telephone_number": "917-453-1081",
"fax_number": "917-475-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 POST RD W",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804235",
"telephone_number": "917-905-7236",
"fax_number": "917-475-4703"
}
],
"practiceLocations": [
{
"address_1": "3449 Post Rd",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "CT",
"postal_code": "068901399",
"country_code": "US",
"telephone_number": "917-905-7236",
"fax_number": "917-475-4703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUBIN STEIN",
"first_name": "KENNETH",
"middle_name": "HILLEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "226900",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "69862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.