Stephanie Vilendrer Deppe, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64421 Issued in MN

Practice address

8550 Santa Monica Blvd FL 2
West Hollywood, CA 90069-4496

Phone

(909) 962-1260

NPI assigned

Apr 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Stephanie Anne Vilendrer Other name

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Specialty

Family Practice

Education

University of Minnesota Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA
• Direct secure messaging: stephanie.deppe@mwc.eclinicaldirectplus.com

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.

• Minnesota Women'S Care, P.a.

  • Obstetrics & Gynecology Physician
  • Maplwood, MN
  • NPI 1518221779

  WI

  Medicare reassignment Care Compare group NPD
• Comprehensive Healthcare for Women, PA

  • Obstetrics & Gynecology Physician
  • Woodbury, MN
  • NPI 1841235595
  NPD

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1629501259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 SANTA MONICA BLVD # 2ND",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694496",
            "telephone_number": "909-962-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 SANTA MONICA BLVD FL 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694496",
            "telephone_number": "909-962-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPE",
        "first_name": "STEPHANIE",
        "middle_name": "VILENDRER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "VILENDRER",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria L Delioukina, MD
• Linh Xuan Deluca, DDS
• Yasaman Demehri
• Jasmine Deng
• Wendy Denham, M.D.
• Lubomira Dermendjieva, PHARM.D.
• Garo Derparseghian, M.D.
• Mauna Desai, FNP
• Donald Desanto II
• Gregory Desir, PMHNP-BC

• Family Medicine Physician in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.