Active NPI
Stephen A Winograd, M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1760463343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11498
- Practice address
- 6707 N. 19TH Avenue
Suite 200
Phoenix, AZ 85015 - Phone
- (602) 249-4750
- Fax
- (602) 249-4814
- NPI assigned
- Nov 9, 2005
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11498 | AZ | Primary |
Addresses
Primary practice location
6707 N. 19TH Avenue
Suite 200
Phoenix, AZ 85015
Mailing address
6707 N. 19TH Avenue
Suite 200
Phoenix, AZ 85015
Phone (602) 249-4750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218140 | Medicaid | AZ |
Other names 1
- Stephen A. Wingrad
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11498 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Gi Associates | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1760463343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 N. 19TH AVENUE",
"address_2": "SUITE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "602-249-4750",
"fax_number": "602-249-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 N. 19TH AVENUE",
"address_2": "SUITE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "602-249-4750",
"fax_number": "602-249-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINOGRAD",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "11498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218140",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHEN",
"last_name": "WINGRAD",
"middle_name": "A.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.