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STEPHEN PREVOZNIK MD
NPI 1265227383
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 10, 2025PECOS Enrolled
30 E APPLE ST STE 6257, DAYTON, OH 45409(937) 208-4200 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Prevoznik Md NPPES

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

STEPHEN PREVOZNIK MD (NPI 1265227383) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265227383
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN PREVOZNIKCredential: MD
Location Address30 E APPLE ST STE 6257Dayton, OH 45409-2939
Mailing Address30 E Apple St Ste 6257Dayton, OH 45409-2939 · (937) 208-4200
Phone(937) 208-4200
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1265227383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
30 E APPLE ST STE 6257, Dayton, OH 45409
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Prevoznik 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.

GERI LEIGH MITCHELL
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (937) 208-4200
DR. ADAM SCHMERGE DEARDORFF M.D.
Psychiatry & Neurology (Neurology)
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (513) 558-5190
AZHAR ALANI
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (937) 208-4384
ABIGAEL LAUREN ENGLER MD
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (937) 208-4200
EMILY GRACE HUFF MD, MS, MSC
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (937) 208-4200
DANIEL VINCENT TALKINGTON MD
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (937) 208-4200
MICHAEL TENSMEYER DO
Psychiatry & Neurology (Clinical Neurophysiology)
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (937) 208-4200
EHAB HASSOUNA MD
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6257
DAYTON, OH 45409
Montgomery County (937) 208-4200

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 Stephen Prevoznik's NPI number?

The NPI number for Stephen Prevoznik is 1265227383. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Stephen Prevoznik located?

Stephen Prevoznik practices at 30 E Apple St Ste 6257, Dayton, OH 45409. The listed phone number is (937) 208-4200.

What is Stephen Prevoznik's specialty?

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

Is Stephen Prevoznik enrolled in Medicare?

Yes. Stephen Prevoznik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Prevoznik was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.