Individual provider Active NPI

Stephen Raymond Predebon, MD

  • Family Medicine Physician
  • Columbiana, OH
National Provider Identifier
1437654050
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.141275 Issued in OH
Practice address
107 Royal Birkdale Dr
Columbiana, OH 44408-8493
Phone
(330) 482-9350
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.141275 OH Primary

Addresses

Primary practice location

107 Royal Birkdale Dr
Columbiana, OH 44408-8493

Mailing address

107 Royal Birkdale Dr Ste a
Columbiana, OH 44408-8493
Phone (330) 482-9350

Other practice location 1

8423 Market St Ste 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Other practice location 2

9471 Market St Ste A
North Lima, OH 44452-8702
Phone (877) 469-7476

Other identifiers 1

IdentifierTypeStateIssuer
0451769MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210726001730 OH Practitioner - Family Practice 1355694209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

107 Royal Birkdale Dr
Suite a
Columbiana, OH 44408-8493
Phone (330) 482-9350

9471 Market St
Suite a
North Lima, OH 44452-8702
Phone (330) 726-7100

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown LLC CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

107 Royal Birkdale Dr
Columbiana, OH 44408
Phone (330) 332-5232

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

8423 Market St
Ste 101
Youngstown, OH 44512
Phone (330) 729-8700

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: spredebon424470@direct.bsmhealth.org

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 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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1437654050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR STE A",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088493",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROYAL BIRKDALE DR",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088493",
            "telephone_number": "330-482-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8423 Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126778",
            "country_code": "US",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9471 Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444528702",
            "country_code": "US",
            "telephone_number": "877-469-7476",
            "fax_number": "330-758-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREDEBON",
        "first_name": "STEPHEN",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.141275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451769",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.