Individual provider Active NPI

Stephen I Proctor, MD

  • Obstetrics & Gynecology Physician
  • Oxon Hill, MD
National Provider Identifier
1811903792
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD21587 Issued in DC
Practice address
6188 Oxon Hill Rd Ste 603
Oxon Hill, MD 20745-3152
Phone
(301) 839-6300
Fax
(301) 839-3002
NPI assigned
Jul 31, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D38772 MD
Obstetrics & Gynecology Physician 207V00000X MD21587 DC Primary
Obstetrics & Gynecology Physician 207V00000X D38772 MD

Addresses

Primary practice location

6188 Oxon Hill Rd Ste 603
Oxon Hill, MD 20745-3152

Mailing address

6188 Oxon Hill Rd Ste 603
Oxon Hill, MD 20745-3152
Phone (301) 839-6300

Other practice location 1

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Other practice location 2

2041 Georgia Ave NW
Washington, DC 20060-3152
Phone (202) 865-6679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20081209000692 DC Practitioner - Obstetrics/Gynecology 3870654866 Reassigns benefits to 3 organizations
I20210924002271 MD Practitioner - Obstetrics/Gynecology 3870654866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wake Forest University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6188 Oxon Hill Rd
Suite 603
Oxon Hill, MD 20745-3152
Phone (301) 839-6300

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Merit-based Incentive Payment System (MIPS)

Final score
96.64 of 100Reported as group
Quality
88.96
Promoting interoperability
100
Improvement activities
40
Cost
73.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D38772MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard University Obstetrics & Gynecology CurrentSince Jan 1, 2014 Accepting new patients
OB/GYN Physicians of Mid-Atlantic, PLLC CurrentSince Dec 9, 2008 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2022 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2022 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Howard University Hospital Corp Past Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

1140 Varnum St NE
Ste 100
Washington, DC 20017
Phone (202) 854-7623

1160 Varnum St NE
#3
Washington, DC 20017
Phone (202) 854-4900

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

4151 Bladensburg Rd
Colmar Manor, MD 20722
Phone (301) 699-7700

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

6188 Oxon Hill Rd
Ste 603
Oxon Hill, MD 20745
Phone (301) 839-6300

6192 Oxon Hill Rd
Ste 600
Oxon Hill, MD 20745
Phone (301) 839-6300

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

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, 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1811903792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 603",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453152",
            "telephone_number": "301-839-6300",
            "fax_number": "301-839-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 603",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453152",
            "telephone_number": "301-839-6300",
            "fax_number": "301-839-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Harry S Truman Dr N",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207745477",
            "country_code": "US",
            "telephone_number": "240-677-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200603152",
            "country_code": "US",
            "telephone_number": "202-865-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "STEPHEN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D38772",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD21587",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D38772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.