Active NPI
Stephen F Dewitt, MD
- Internal Medicine Physician
- Warren, MI
National Provider Identifier
1932279874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301041306
- Practice address
- 28800 Ryan Rd
Suite 230
Warren, MI 48092-4269 - Phone
- (586) 558-3950
- Fax
- (586) 558-7503
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301041306 | MI | Primary |
Addresses
Primary practice location
28800 Ryan Rd
Suite 230
Warren, MI 48092-4269
Mailing address
28800 Ryan Rd
Suite 230
Warren, MI 48092-4269
Phone (586) 558-3950
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101892762 | Medicaid | MI | |
| 1110820001 | Other | MI | THE WELLNESS PLAN |
| 503683 | Other | MI | CARE CHOICES PREFERRED CH |
| 4301041306 | Other | MI | MI STATE LICENSE NUMBER |
| 000000006021 | Other | MI | CAPE HEALTH PLAN |
| 1105037461 | Other | MI | BCBSM PIN |
| 217178600 | Other | MI | USDOL-OWCP |
| A77875 | Other | MI | HEALTH ALLIANCE PLAN |
| DR500114 | Other | MI | M-CARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Past | Accepting new patients |
| University Physician Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Wayne State University Physician Group
- Social Worker
- Livonia, MI
- NPI 1154360402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932279874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28800 RYAN RD",
"address_2": "SUITE 230",
"city": "WARREN",
"state": "MI",
"postal_code": "480924269",
"telephone_number": "586-558-3950",
"fax_number": "586-558-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28800 RYAN RD",
"address_2": "SUITE 230",
"city": "WARREN",
"state": "MI",
"postal_code": "480924269",
"telephone_number": "586-558-3950",
"fax_number": "586-558-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWITT",
"first_name": "STEPHEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301041306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101892762",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE WELLNESS PLAN",
"identifier": "1110820001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES PREFERRED CH",
"identifier": "503683",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI STATE LICENSE NUMBER",
"identifier": "4301041306",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH PLAN",
"identifier": "000000006021",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "1105037461",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDOL-OWCP",
"identifier": "217178600",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "A77875",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M-CARE",
"identifier": "DR500114",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.