Individual provider Active NPI

Stefanie Paige Aronow, M.D.

  • Pediatrics Physician
  • Birmingham, MI
National Provider Identifier
1649373598
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301086371 Issued in MI
Practice address
1011 Kennesaw St
Birmingham, MI 48009-5724
Phone
(248) 574-5488
Fax
(248) 278-4799
NPI assigned
Sep 6, 2006
Last updated
Jul 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301086371 MI Primary

Addresses

Primary practice location

1011 Kennesaw St
Birmingham, MI 48009-5724

Mailing address

1011 Kennesaw St
Birmingham, MI 48009-5724
Phone (734) 904-1410

Other practice location 1

6735 Telegraph Rd
Bloomfield Hills, MI 48301-3141
Phone (248) 647-1100

Other identifiers 8

IdentifierTypeStateIssuer
MIDWEST HP-MEDICAIDOtherMI024916
20-1711014OtherTRICARE
3508143361OtherBS-INDIVIDUAL
7346282OtherMIAETNA
0H11422OtherBCBS/BCN GROUP
7346282OtherMIPPOM
HAPOtherMIH34825
4905514MedicaidMI

Other names 1

  • Stefanie Paige Polsky Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301086371MIMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1649373598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 KENNESAW ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095724",
            "telephone_number": "734-904-1410",
            "fax_number": "248-278-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 KENNESAW ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095724",
            "telephone_number": "248-574-5488",
            "fax_number": "248-278-4799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6735 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483013141",
            "country_code": "US",
            "telephone_number": "248-647-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARONOW",
        "first_name": "STEFANIE",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301086371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "024916",
            "identifier": "MIDWEST HP-MEDICAID",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "20-1711014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS-INDIVIDUAL",
            "identifier": "3508143361",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7346282",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/BCN GROUP",
            "identifier": "0H11422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "7346282",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H34825",
            "identifier": "HAP",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4905514",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "POLSKY",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.