Individual provider Active NPI

Stephen Mason, MD

  • Family Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1528390259
Registry record updated Apr 4, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301097993 Issued in MI
Practice address
3415 Benjamin Ave Apt 111
Royal Oak, MI 48073-2238
Phone
(248) 224-2440
NPI assigned
Feb 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2021

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 4301097993 MI Primary

Addresses

Primary practice location

3415 Benjamin Ave Apt 111
Royal Oak, MI 48073-2238

Mailing address

3415 Benjamin Ave Apt 111
Royal Oak, MI 48073-2238
Phone (248) 224-2440

Other practice location 1

3400 Lafayette Rd
Suite 200
Indianapolis, IN 46222-1146
Phone (317) 291-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Detroit PC Family Medicine Past Accepting new patients
Lake Mi Mobile Doctors, P.C. Past Accepting new patients
Embrace Home Physicians PLLC PastSince Nov 21, 2016 Accepting new patients
Lake Mi Mobile Doctors PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1528390259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 BENJAMIN AVE APT 111",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732238",
            "telephone_number": "248-224-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 BENJAMIN AVE APT 111",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732238",
            "telephone_number": "248-224-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Lafayette Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462221146",
            "country_code": "US",
            "telephone_number": "317-291-7422",
            "fax_number": "317-291-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.