Individual provider Active NPI

Steven Walden Pappas, M.D.

  • Internal Medicine Physician
  • Mamaroneck, NY
National Provider Identifier
1992748826
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
140803 Issued in NY
Practice address
875 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1976
Phone
(914) 793-1115
Fax
(914) 793-2659
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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 140803 NY Primary

Addresses

Primary practice location

875 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1976

Mailing address

875 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1976
Phone (914) 793-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110505000519 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 1153506258 Reassigns benefits to 1 organization
Practice locations: Mamaroneck, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

875 Mamaroneck Ave
Suite 202
Mamaroneck, NY 10543-1976
Phone (914) 793-1115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Feb 13, 2016 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 13, 2016 Accepting new patients
Steven W Pappas, MD PastSince Sep 1, 1979 Accepting new patients

Locations

561 3rd Ave
New York, NY 10016
Phone (212) 729-4668

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1992748826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE STE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431976",
            "telephone_number": "914-793-1115",
            "fax_number": "914-793-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE STE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431976",
            "telephone_number": "914-793-1115",
            "fax_number": "914-793-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "STEVEN",
        "middle_name": "WALDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "140803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

Verify at the official NPI Registry.