Individual provider Active NPI

Jeannette Fischer Stein, MD

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1609977099
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26172 Issued in NC
Practice address
508 Fulton St # 11C
Durham, NC 27705-3875
Phone
(919) 286-0411
Fax
(919) 416-5881
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26172 NC Primary

Addresses

Primary practice location

508 Fulton St # 11C
Durham, NC 27705-3875

Mailing address

508 Fulton St # 11C
Durham, NC 27705-3875
Phone (919) 286-0411

Other practice location 1

1301 Fayetteville St
Durham, NC 27707-2325
Phone (919) 956-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040414001352 NC Practitioner - Internal Medicine 7810981479 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26172NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Health Center Incorporated CurrentSince Nov 12, 2024 Accepting new patients
Lincoln Community Health Center Incorporated CurrentSince Nov 12, 2024 Accepting new patients
Lincoln Community Health Center Incorporated Past Accepting new patients

Locations

401 N Driver St
Durham, NC 27703
Phone (919) 530-8210

1313 Halley St
Durham, NC 27707
Phone (919) 536-4205

1301 Fayetteville St
Durham, NC 27707
Phone (919) 956-4000

815 Broad St
Durham, NC 27705
Phone (919) 416-1254

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1609977099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FULTON ST # 11C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-0411",
            "fax_number": "919-416-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FULTON ST # 11C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-0411",
            "fax_number": "919-416-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Fayetteville St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072325",
            "country_code": "US",
            "telephone_number": "919-956-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "JEANNETTE",
        "middle_name": "FISCHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "26172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.