Individual provider Active NPI

Eugene Earl Stevens, MD

  • Internal Medicine Physician
  • Tempe, AZ
National Provider Identifier
1952351561
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14389 Issued in AZ
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

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321001181 AZ Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 0547208886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Highway Christian Hospice Inc PastSince Jul 26, 1996 Accepting new patients
Valiant Hospice & Palliative Care, LLC PastSince Jul 24, 2022 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.

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

Verify at the official NPI Registry.