Individual provider Active NPI

Paul M Stein, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1649351966
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33452 Issued in MO
Practice address
555 N New Ballas Rd
Suite 110
Saint Louis, MO 63141-6825
Phone
(314) 872-8470
Fax
(314) 872-8472
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 33452 MO Primary

Addresses

Primary practice location

555 N New Ballas Rd
Suite 110
Saint Louis, MO 63141-6825

Mailing address

555 N New Ballas Rd
Suite 110
Saint Louis, MO 63141-6825
Phone (314) 872-8470

Other identifiers 3

IdentifierTypeStateIssuer
202641627MedicaidMO
33452OtherMOMEDICAL LICENSE
1682OtherMOBNDD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181211002666 FL Practitioner - Internal Medicine 1850491705 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Portu MD PLLC Internal Medicine CurrentSince Oct 10, 2021 Accepting new patients
Dr Jacqueline Romero DO PA CurrentSince Oct 17, 2018 Accepting new patients
Bi-State Medical Consultants, Inc. Internal Medicine Past Accepting new patients

Locations

12250 Tamiami Trl E
Ste 208
Naples, FL 34113
Phone (239) 235-7908

950 Manatee Rd
Naples, FL 34114
Phone (239) 235-7908

11181 Health Park Blvd
Ste 2260
Naples, FL 34110
Phone (239) 514-7315

11181 Health Park Blvd
Ste 1170
Naples, FL 34110
Phone (239) 514-7315

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649351966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416825",
            "telephone_number": "314-872-8470",
            "fax_number": "314-872-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS RD",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416825",
            "telephone_number": "314-872-8470",
            "fax_number": "314-872-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "33452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202641627",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "33452",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD",
            "identifier": "1682",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.