Active NPI
Stephen R Clingman, MD
- Family Medicine Physician
- Peru, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01070531A
- Practice address
- 750 N Broadway
Peru, IN 46970-1027 - Phone
- (260) 569-2120
- Fax
- (260) 569-2121
- NPI assigned
- Sep 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-101503 | IL | |
| Family Medicine Physician | 207Q00000X | 01070531A | IN | Primary |
Addresses
Primary practice location
750 N Broadway
Peru, IN 46970-1027
Mailing address
2330 S Dixon Rd
Kokomo, IN 46902-6434
Phone (765) 455-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036101503 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Cincinnati College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2330 S Dixon Rd
Kokomo, IN 46902-6434
Phone (765) 455-5400
Hospital & facility affiliations
- Elara Caring
- Elite Home Rehab and Healthcare Corp
- Ascension at Home
- Ascension St Vincent Kokomo
- Community Howard Regional Health Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-101503 | IL | MD | Family Medicine Physician |
| 01070531A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Family Medicine | Current | Accepting new patients |
| Parkview Health System Inc | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| American Health Network of Indiana, LLC | Family Medicine | Past | Accepting new patients |
| Fisher-Titus Medical Care LLC | Family Medicine | Past | Accepting new patients |
Locations
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
2330 S Dixon Rd
Kokomo, IN 46902
Phone (765) 455-5400
750 N Broadway
Peru, IN 46970
Phone (260) 569-2120
3309 S 750 W
Russiaville, IN 46979
Phone (765) 461-7174
Interoperability endpoints
- sclingman211908@direct.optum.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1831236272
Family Medicine
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Radiology Clinic/Center
- New Albany, IN
- NPI 1164304424
-
- Family Medicine Physician
- Mulberry, IN
- NPI 1033220017
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- Norwalk, OH
- NPI 1467636399
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
-
- Home Health Agency
- Carmel, IN
- NPI 1740630110
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
-
- Home Health Agency
- Pendleton, IN
- NPI 1942376843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1891898326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 S DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469026434",
"telephone_number": "765-455-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N BROADWAY",
"city": "PERU",
"state": "IN",
"postal_code": "469701027",
"telephone_number": "260-569-2120",
"fax_number": "260-569-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINGMAN",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-101503",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01070531A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036101503",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peru, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.