Active NPI
Steven D Epstein, DPM
- Podiatrist
- Lebanon, PA
National Provider Identifier
1902899768
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002168L
- Practice address
- 618 Cornwall Rd
Lebanon, PA 17042-7089 - Phone
- (717) 274-5491
- Fax
- (717) 274-5492
- NPI assigned
- Aug 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002168L | PA | Primary |
Addresses
Primary practice location
618 Cornwall Rd
Lebanon, PA 17042-7089
Mailing address
618 Cornwall Rd
Lebanon, PA 17042-7089
Phone (717) 274-5491
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007903830001 | Medicaid | PA | |
| 407456 | Other | PA | HIGHMARK BLUE SHIELD |
| 02693600 | Other | PA | CAPITAL BLUE CROSS |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002168L | PA | MD | Podiatrist |
Interoperability endpoints
- https://api.platform.athenahealth.com/18036/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1902899768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 CORNWALL RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427089",
"telephone_number": "717-274-5491",
"fax_number": "717-274-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 CORNWALL RD",
"city": "LEBANON",
"state": "PA",
"postal_code": "170427089",
"telephone_number": "717-274-5491",
"fax_number": "717-274-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "STEVEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002168L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007903830001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "407456",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02693600",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.