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STEVEN RAY ENGEBRETSEN
NPI 1205337292
Otolaryngology - Pediatric Otolaryngology in Madera, CA

Active since February 24, 2018PECOS Enrolled
9300 VALLEY CHILDREN'S PL, SE18, MADERA, CA 93636(559) 353-6453 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2024, Feb 24, 2018 (2 updates tracked since 2018).

About Steven Ray Engebretsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVEN RAY ENGEBRETSEN (NPI 1205337292) is an individual pediatric otolaryngology provider in Madera, California, licensed in California (20A21193) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1205337292
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameSTEVEN RAY ENGEBRETSEN
Location Address9300 VALLEY CHILDREN'S PL, SE18Madera, CA 93636
Mailing Address9300 Valley Children's Pl Sc05Madera, CA 93636
Phone(559) 353-6453
Sole ProprietorYes
Enumeration DateFebruary 24, 2018
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1205337292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in CA · 20A21193
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9300 VALLEY CHILDREN'S PL, SE18, Madera, CA 93636
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Secondary Practice Location 1

Location 14201 Saint Antoine StDetroit, MI 48201-2153 · Phone (313) 745-5402

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Ray Engebretsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Steven Engebretsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reedley Community Hospital
27 mi
General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group
NPI 1336167550 (559) 638-8155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Steven Engebretsen's NPI number?

The NPI number for Steven Engebretsen is 1205337292. It was assigned to this individual provider in the NPPES registry on February 24, 2018.

Where is Steven Engebretsen located?

Steven Engebretsen practices at 9300 Valley Children's Pl, Se18, Madera, CA 93636. The listed phone number is (559) 353-6453.

What is Steven Engebretsen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Steven Engebretsen enrolled in Medicare?

Yes. Steven Engebretsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Steven Engebretsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Engebretsen reassigns Medicare benefits to Reedley Community Hospital (Reedley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Engebretsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Steven Engebretsen was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.