Active NPI
Stephen Raymond Predebon, MD
- Family Medicine Physician
- Columbiana, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.141275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0451769 | Medicaid | OH |
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
Enrollment records 1
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
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
- HMHP St Elizabeth Boardman Health Center
- Salem Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | 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
- 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.
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
- Physical Therapist
- Warren, OH
- NPI 1528736972
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
-
- General Acute Care Hospital
- Salem, OH
- NPI 1639131535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.