Individual provider Active NPI

Evan Stern, MD

  • Emergency Medicine Physician
  • Yuma, AZ
National Provider Identifier
1912526583
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33925 Issued in NE
Practice address
990 D Street
Yuma, AZ 85365
Phone
(928) 328-2502
NPI assigned
Apr 13, 2020
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 33925 NE Primary

Addresses

Primary practice location

990 D Street
Yuma, AZ 85365

Mailing address

301 C Street
BLDG 990
Yuma, AZ 85365
Phone (928) 328-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240801004161 AZ Practitioner - Emergency Medicine 9335686864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Warren Alpert Medical School of Brown University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Estrellas Emergency Physicians LLCGroup PAC ID 5193002954, 38 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33925NEMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince Jun 19, 2024 Accepting new patients
Yuma Regional Medical Center Past Accepting new patients
Weed Army Community Hospital PastSince Jul 28, 2024 Accepting new patients

Locations

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1912526583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 C STREET",
            "address_2": "BLDG 990",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-328-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 D STREET",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85365",
            "telephone_number": "928-328-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "33925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.