Active NPI
Michael Stivelman, M.D.
- Anesthesiology Physician
- Berlin, MD
National Provider Identifier
1659352102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0043086
- Practice address
- 9733 Healthway Drive
Atlantic General Hospital
Berlin, MD 21811 - Phone
- (410) 641-9774
- Fax
- (410) 641-9622
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0043086 | MD | Primary |
Addresses
Primary practice location
9733 Healthway Drive
Atlantic General Hospital
Berlin, MD 21811
Mailing address
10026 Old Ocean City Blvd
Building One
Berlin, MD 21811-1288
Phone (410) 641-9774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182151200 | Medicaid | MD | |
| 050050267 | Other | MD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Anesthesia Ams LLC | Anesthesiology | Current | Accepting new patients |
| Associated Anesthesiology Practice P.a. | Anesthesiology | Past | Accepting new patients |
| Atlantic Immedicare LLC | Past | Accepting new patients |
Locations
12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185
641 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 341-9002
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.
-
- Anesthesiology Physician
- Salisbury, MD
- NPI 1902887425
-
- General Practice Physician
- Ocean City, MD
- NPI 1518199223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1659352102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10026 OLD OCEAN CITY BLVD",
"address_2": "BUILDING ONE",
"city": "BERLIN",
"state": "MD",
"postal_code": "218111288",
"telephone_number": "410-641-9774",
"fax_number": "410-641-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9733 HEALTHWAY DRIVE",
"address_2": "ATLANTIC GENERAL HOSPITAL",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "410-641-9774",
"fax_number": "410-641-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVELMAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0043086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182151200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050050267",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.