Active NPI
Jeffrey M Stevens, D.O.
- Family Medicine Physician
- Portage, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013582
- Practice address
- 2725 Airview Blvd Ste 105
Portage, MI 49002 - Phone
- (269) 349-8386
- Fax
- (269) 349-8397
- NPI assigned
- Apr 13, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013582 | MI | Primary |
Addresses
Primary practice location
2725 Airview Blvd Ste 105
Portage, MI 49002
Mailing address
2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Phone (269) 349-8386
Other practice location 1
1900 Wealthy Street SE
200
Grand Rapids, MI 49506-2969
Phone (616) 267-7292
Other practice location 2
2205 Jolly Rd Ste B
Okemos, MI 48864
Phone (517) 347-4085
Other practice location 3
3355 Eagle Park Dr NE Ste 103
Grand Rapids, MI 49525-7004
Phone (616) 942-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20040819001177 | MI | Practitioner - Family Practice | 5395719009 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Portage, MI 49002
Phone (269) 349-8386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013582 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Harmonycares Complete Health Services, PLLC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Iah of Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Iah of Florida, LLC | Family Medicine | Past | Accepting new patients |
| Harmony Medical Services of New York, PLLC | Family Medicine | Past | Accepting new patients |
| Metropolitan Hospital | Past | Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Family Medicine | Past | Accepting new patients |
| Harmonycares Complete Health Services of New Jersey, LLC | Family Medicine | Past | Accepting new patients |
Locations
3355 Eagle Park Dr NE
Ste 103
Grand Rapids, MI 49525
Phone (616) 942-7400
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
Interoperability endpoints
- jeffrey.stevens.2@32913.direct.athenahealth.com
Organizations & group practices 10
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1992769285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 AIRVIEW BLVD STE 105",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021804",
"telephone_number": "269-349-8386",
"fax_number": "269-349-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 AIRVIEW BLVD STE 105",
"city": "PORTAGE",
"state": "MI",
"postal_code": "49002",
"telephone_number": "269-349-8386",
"fax_number": "269-349-8397"
}
],
"practiceLocations": [
{
"address_1": "1900 Wealthy Street SE",
"address_2": "200",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495062969",
"country_code": "US",
"telephone_number": "616-267-7292",
"fax_number": "616-267-7922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2205 Jolly Rd Ste B",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "48864",
"country_code": "US",
"telephone_number": "517-347-4085",
"fax_number": "517-347-4170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3355 Eagle Park Dr NE Ste 103",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495257004",
"country_code": "US",
"telephone_number": "616-942-7400",
"fax_number": "616-942-7405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.