STEFAN MENCHINGER MD
NPI 1255906764
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Stefan Menchinger's NPI number?

The NPI number for Stefan Menchinger is 1255906764. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Stefan Menchinger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stefan Menchinger was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since May 26, 2021PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(616) 821-4091 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 31, 2026, Apr 5, 2022, May 26, 2021 (3 updates tracked since 2021).

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About Stefan Menchinger Md NPPES

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

STEFAN MENCHINGER MD (NPI 1255906764) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4301517605) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1255906764

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSTEFAN MENCHINGERCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address1265 Washington Blvd Apt 1506Detroit, MI 48226-1967 · (505) 272-2269

Phone(616) 821-4091

Sole ProprietorNo

Enumeration DateMay 26, 2021

Last NPPES UpdateMay 31, 20263 updates tracked since enumeration

NPPES CertifiedMay 31, 2026

✔ NPI 1255906764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4301517605

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 4351047904 (MI)

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Location 1

Location 11 University of New Mexico, MSC10 5530Albuquerque, NM 87131 · Phone (505) 272-2269 · Fax (505) 272-5821

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefan Menchinger Md 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL

General Acute Care Hospital