Priya C Stephen, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD427789 Issued in PA

Practice address

104 Pheasant Run Ste 116B
Newtown, PA 18940-3414

Phone

(215) 968-6844

Fax

(215) 968-4519

NPI assigned

Mar 10, 2006

Last updated

Dec 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Priya C Thomas Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Pediatric Medicine

Education

Boston University School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Pediatric Associates of Greater Salem IncGroup PAC ID 4284648270, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4
• Direct secure messaging: priya.stephen.1@2804.direct.athenahealth.com
• Direct secure messaging: stephen.priya.pags@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Associates of Greater Salem, Inc

  • Pediatrics Physician
  • Beverly, MA
  • NPI 1134191125
  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Silver Spring Medical Center

  • Health Maintenance Organization
  • Silver Spring, MD
  • NPI 1649390808
  NPD (past)
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1447228986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 116B",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403414",
            "telephone_number": "215-968-6844",
            "fax_number": "215-968-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 116B",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403414",
            "telephone_number": "215-968-6844",
            "fax_number": "215-968-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "PRIYA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08046500",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD427789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRIYA",
            "last_name": "THOMAS",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Staffin, M.A. CCC
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Neurology - Newtown Yardley)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Ophthalmology - Newtown Yardley)
• Steady Steps LLC
• Amy E. Stein, MSW, LCSW
• Steven Robbins Eyewear Inc.
• Michelle Stevens Sanagustin, PHD
• Ruth Anne Stevenson, MD
• Tonya M Stillings-Smith, PT
• Mary C Stock, M.D.

• Pediatrics Physician in Newtown, PA
• Providers in Newtown, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.

Verify at the official NPI Registry.