Michel Khamis Stephan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F8687 Issued in TX

Practice address

2540 NTH Galloway Avenue
101
Mesquite, TX 75150

Phone

(972) 226-0405

Fax

(972) 270-4959

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

General Surgery

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
• Dallas Medical Center Hospital, Dallas, TX, CCN 450379

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcmsteph@yourcarecommunity.org

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.

• Michel Stephan MD PA

  • Surgery Physician
  • Mesquite, TX
  • NPI 1619946324
  Medicare reassignment NPD Authorized official
• East Dallas Neurological Services

  • Neurology Physician
  • Mesquite, TX
  • NPI 1780919332
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dallas Medical Center LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1861690364
  Care Compare affiliation
• Prime Healthcare Services Mesquite LLC

  • General Acute Care Hospital
  • Mesquite, TX
  • NPI 1790174860
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1912966938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 NTH GALLOWAY AVENUE",
            "address_2": "101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-226-0405",
            "fax_number": "972-270-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 NTH GALLOWAY AVENUE",
            "address_2": "101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-226-0405",
            "fax_number": "972-270-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "MICHEL",
        "middle_name": "KHAMIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "F8687",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "F8687",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123330601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny Staton, LSA
• Kimmie Steed
• Ralph G Stein, D.O.
• Michelle Steinhagen
• Olga Stepanchenko, DDS
• Destiny Stepp
• Emily Kay Sterpka, BCBA,LBA
• Desmonique Stevens
• Niem Stevenson
• Lythia Jean Stewart, DDS

• Surgery Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.

Verify at the official NPI Registry.