Active NPI
Michael Popkin Stevens, M.D.
- Rheumatology Physician
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G59207
- Practice address
- 101 S San Mateo Dr
Suite 307
San Mateo, CA 94401-3819 - Phone
- (650) 348-6011
- Fax
- (650) 348-6027
- NPI assigned
- Oct 14, 2005
- Last updated
- Mar 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G59207 | CA | Primary |
Addresses
Primary practice location
101 S San Mateo Dr
Suite 307
San Mateo, CA 94401-3819
Mailing address
101 S San Mateo Dr
Suite 307
San Mateo, CA 94401-3819
Phone (650) 348-6011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G592070 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Rheumatology
- Education
- Boston University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 S San Mateo Dr
Suite 307
San Mateo, CA 94401-3844
Phone (650) 348-6011
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.81 of 100
- Quality
- 89.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 43.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59207 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Mateo Rheumatology Inc. | Rheumatology | Current | Accepting new patients |
| Mills-Peninsula Health Services | Past | Accepting new patients | |
| Saint Joseph Hospital | Past | Accepting new patients | |
| Seton Medical Center | Past | Accepting new patients |
Locations
101 S San Mateo Dr
Ste 307
San Mateo, CA 94401
Phone (650) 348-6011
Interoperability endpoints
- mstevens45754@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Rheumatology Physician
- San Mateo, CA
- NPI 1104201334
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1518937051
-
- General Acute Care Hospital
- Daly City, CA
- NPI 1679608640
-
dba SJH Cardiology
- Cardiovascular Disease Physician
- Chicago, IL
- NPI 1538254107
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
dba Menlo Park Surgical Hospital
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1932198793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S SAN MATEO DR",
"address_2": "SUITE 307",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013819",
"telephone_number": "650-348-6011",
"fax_number": "650-348-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S SAN MATEO DR",
"address_2": "SUITE 307",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013819",
"telephone_number": "650-348-6011",
"fax_number": "650-348-6027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MICHAEL",
"middle_name": "POPKIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G59207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G592070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
- Stepping Stones Center for Autistic Spectrum Disorders, Inc,
- Stepping Stones Center for Autistic Spectrum Disorders, Inc.
- Lori Sterling, RN, PHN
- Steve Kinstler Marriage and Family Therapist, Inc.
- Steven Machtinger MD & Associates Inc
- Virginia Lee Stewart, LCSW
- Carmen Andrea Stickel, RN, PHN
- Rachelle Stiggall
- Denise Marie Stilwell
- Jennifer Lee Stimson, REGISTERED DIETITIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.