Stephen Ettore Kronberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301058204 Issued in MI

Practice address

20331 Farmington Rd
Livonia, MI 48152-1411

Phone

(248) 478-1100

Fax

(248) 478-7054

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nova Medica PLLC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1417979360

  Internal Medicine, MI

  Medicare reassignment NPD
• Agha Internal Medicine Associates PC

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1336161280

  Internal Medicine

  NPD
• Medical Services of Detroit PC

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1821296815

  Internal Medicine

  NPD (past)
• Michigan Rehabilitation & Physical Therapy LLC

  • Geriatric Physical Therapist
  • Southfield, MI
  • NPI 1356420731
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528071818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20331 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-478-1100",
            "fax_number": "248-478-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20331 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-478-1100",
            "fax_number": "248-478-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36475 Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541971",
            "country_code": "US",
            "telephone_number": "313-310-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRONBERG",
        "first_name": "STEPHEN",
        "middle_name": "ETTORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301058204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4535585",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ambujam R Krishnan, MD
• Andrew Krisniski, BA
• Kellie Kroeger
• Kroger Co of Michigan
• Kroger Co of Michigan
• Kalie Marie Krotchen
• Justin Krueger
• Cameron Scott Kruse
• Choo-Soon Kua, DDS, FRCDC
• Megan Marie Kub

• Internal Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.