Individual provider Active NPI

William A Stefani, M.D.

  • Plastic Surgery Physician
  • Troy, MI
National Provider Identifier
1447266945
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301406868 Issued in MI
Practice address
85 E Big Beaver Rd
Troy, MI 48083-1262
Phone
(586) 779-3030
Fax
(586) 779-6733
NPI assigned
Aug 1, 2006
Last updated
Mar 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301406868 MI Primary

Addresses

Primary practice location

85 E Big Beaver Rd
Troy, MI 48083-1262

Mailing address

85 E Big Beaver Rd
Troy, MI 48083-1262
Phone (586) 779-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101005000140 MI Practitioner - Plastic and Reconstructive Surgery 2567487937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Plastic Surgery, P.C.Group PAC ID 3476578840, 3 clinicians

Practice addresses (Care Compare)

85 E Big Beaver Rd
Troy, MI 48083-1262

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision15
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Was MD PC Plastic Surgery Current Accepting new patients
Renaissance Plastic Surgery P.C. CurrentSince Aug 1, 1994 Accepting new patients

Locations

85 E Big Beaver Rd
Troy, MI 48083
Phone (586) 779-3030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1447266945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831262",
            "telephone_number": "586-779-3030",
            "fax_number": "586-779-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831262",
            "telephone_number": "586-779-3030",
            "fax_number": "586-779-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANI",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301406868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.