Active NPI
Paul M Stein, MD
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33452
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202641627 | Medicaid | MO | |
| 33452 | Other | MO | MEDICAL LICENSE |
| 1682 | Other | MO | BNDD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos Portu MD PLLC | Internal Medicine | Current | Accepting new patients |
| Dr Jacqueline Romero DO PA | Current | 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306972195
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.