Individual provider Active NPI

Michael Popkin Stevens, M.D.

  • Rheumatology Physician
  • San Mateo, CA
National Provider Identifier
1932198793
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G59207 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G592070MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000561 CA Practitioner - RheumatologyPractitioner - Internal Medicine 1850450495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Mateo Rheumatology IncGroup PAC ID 7113212861, 3 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
G59207CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo Rheumatology Inc. Rheumatology CurrentSince Jun 25, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.