Active NPI
Eugene Earl Stevens, MD
- Internal Medicine Physician
- Tempe, AZ
National Provider Identifier
1952351561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14389
- Practice address
- 637 S 48TH St Ste 104
Tempe, AZ 85281-2328 - Phone
- (602) 274-1952
- Fax
- (602) 274-2338
- NPI assigned
- May 12, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14389 | AZ | Primary |
Addresses
Primary practice location
637 S 48TH St Ste 104
Tempe, AZ 85281-2328
Mailing address
637 S 48TH St Ste 104
Tempe, AZ 85281-2328
Phone (602) 274-1952
Other practice location 1
67 E Weldon Ave
Suite 317
Phoenix, AZ 85012-2040
Phone (602) 274-1952
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160321001181 | AZ | Order and Referring Only - Hospice/Palliative Care | 0547208886 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highway Christian Hospice Inc | Past | Accepting new patients | |
| Valiant Hospice & Palliative Care, LLC | 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.
-
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1225092760
-
- Community Based Hospice Care Agency
- Tempe, AZ
- NPI 1467991117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1952351561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 S 48TH ST STE 104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852812328",
"telephone_number": "602-274-1952",
"fax_number": "602-274-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 S 48TH ST STE 104",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852812328",
"telephone_number": "602-274-1952",
"fax_number": "602-274-2338"
}
],
"practiceLocations": [
{
"address_1": "67 E Weldon Ave",
"address_2": "Suite 317",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122040",
"country_code": "US",
"telephone_number": "602-274-1952",
"fax_number": "602-274-2338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "EUGENE",
"middle_name": "EARL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "14389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.