Individual provider Active NPI

Stephen R. Myron, M.D.

  • Emergency Medicine Physician
  • Portland, IN
National Provider Identifier
1801889142
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102951A Issued in IN
Practice address
430 W Votaw St
Portland, IN 47371-1302
Phone
(260) 726-6515
Fax
(260) 726-2814
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01029521A IN
Emergency Medicine Physician 207P00000X 0102951A IN Primary

Addresses

Primary practice location

430 W Votaw St
Portland, IN 47371-1302

Mailing address

250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959
Phone (317) 962-3834

Other identifiers 1

IdentifierTypeStateIssuer
100348530MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040430000938 IN Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Hospitalist 8729982434 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Indiana University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Hospital & facility affiliations

  • Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320
  • Ascension St Vincent Mercy Hospital, Elwood, IN, CCN 151308
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102951AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jan 1, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Preferred Emergency Physicians Emergency Medicine PastSince Aug 1, 1999 Accepting new patients
Bluffton Health System LLC Family Medicine Past Accepting new patients
Jean L. Roberts, M.D., Family Medicine & Obstetric Care, LLC Family Medicine Past Accepting new patients
Preferred Medical, PC PastSince Mar 1, 2007 Accepting new patients
Rush Memorial Hospital Emergency Medicine PastSince Dec 7, 2025 Accepting new patients
Major Hospital Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Preferred Physicians PC Family Medicine PastSince Aug 3, 1999 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5208 Reliable Pkwy
Chicago, IL 60686

3832 Solutions Ctr
Chicago, IL 60677

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

500 W Votaw St
Ste A
Portland, IN 47371
Phone (260) 726-2313

1758 W 100 S
Portland, IN 47371
Phone (260) 726-1814

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

430 W Votaw St
Portland, IN 47371
Phone (260) 726-7616

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004

Interoperability endpoints

  • Direct secure messaging: smyron@direct.iuhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1801889142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-962-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711302",
            "telephone_number": "260-726-6515",
            "fax_number": "260-726-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRON",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01029521A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "0102951A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100348530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, IN

Sources for this page

Verify at the official NPI Registry.