Individual provider Active NPI

Michael Lee Stern, MD

  • Surgery Physician
  • Dearborn, MI
National Provider Identifier
1710273719
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301110427 Issued in MI
Practice address
18181 Oakwood Blvd Ste 212
Dearborn, MI 48124-5031
Phone
(313) 438-7397
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 4301110427 MI
Pediatric Surgery Physician 2086S0120X 4301110427 MI
Surgery Physician 208600000X 4301110427 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 212
Dearborn, MI 48124-5031

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

1540 E Hospital Dr Rm 4972
Ann Arbor, MI 48109-4000
Phone (734) 764-4151

Other practice location 2

1500 East Medical Center Dr
4th floor CS Mott Childrens Hospital
Ann Arbor, MI 48109-4217
Phone (734) 764-4151

Other practice location 3

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 982-5455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstern6172834@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ME2 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

Enrollment IDStateProvider typePAC IDDetails
I20180712002503 MI Practitioner - General SurgeryPractitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 3173566692 Reassigns benefits to 1 organization
I20190301001596 ME Practitioner - General Surgery 3173566692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Albany Medical College of Union University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089

28100 Grand River Ave
Farmington Hills, MI 48336-5970

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110427MIMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Feb 1, 2019 Accepting new patients
Bridgton Hospital CurrentSince Feb 1, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Feb 1, 2019 Accepting new patients
Rumford Hospital CurrentSince Feb 1, 2019 Accepting new patients
Bridgton Hospital CurrentSince Feb 1, 2019 Accepting new patients
Central Maine Medical Center CurrentSince Feb 1, 2019 Accepting new patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Jul 6, 2023 Accepting new patients
Oakwood Ambulatory LLC Surgery Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

15 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-3421

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

12 High St
Ste 401
Lewiston, ME 04240
Phone (207) 795-2494

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • Direct secure messaging: mstern1257479@epic00.shdirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1710273719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 212",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245031",
            "telephone_number": "313-438-7397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 E Hospital Dr Rm 4972",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481094000",
            "country_code": "US",
            "telephone_number": "734-764-4151",
            "fax_number": "207-662-7066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 East Medical Center Dr",
            "address_2": "4th floor CS Mott Childrens Hospital",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481094217",
            "country_code": "US",
            "telephone_number": "734-764-4151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Oakwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-982-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MI",
            "license": "4301110427",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MI",
            "license": "4301110427",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301110427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstern6172834@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18181 Oakwood Blvd Ste 212",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481245031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.