DOMINIQUE MAYA STEVENS M.D.
NPI 1346604725
Family Medicine - Sports Medicine in Evanston, IL

Q: What is Dominique Stevens's NPI number?

The NPI number for Dominique Stevens is 1346604725. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Dominique Stevens's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Stevens was last updated on December 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2016PECOS Enrolled

633 EMERSON ST, EVANSTON, IL 60208(847) 491-5470(847) 491-5919 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dominique Maya Stevens M.d. NPPES

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

DOMINIQUE MAYA STEVENS M.D. (NPI 1346604725) is an individual sports medicine provider in Evanston, Illinois, licensed in Illinois (036154015) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Akron.

NPPES Registry Identity

NPI1346604725

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDOMINIQUE MAYA STEVENSCredential: M.D.

Location Address633 EMERSON STEvanston, IL 60208-0844

Mailing Address633 Emerson StEvanston, IL 60208-0844 · (847) 491-5470 · Fax (847) 491-5919

Phone(847) 491-5470

Fax(847) 491-5919

Sole ProprietorNo

Enumeration DateApril 11, 2016

Last NPPES UpdateDecember 7, 2021

NPPES CertifiedDecember 7, 2021

✔ NPI 1346604725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IL · 036154015

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

633 EMERSON ST, Evanston, IL 60208

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Secondary Practice Location 1

Location 1525 E Market StAkron, OH 44304-1619 · Phone (330) 375-3761

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Maya Stevens M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

ALYSIA L GREEN MD

Family Medicine (Sports Medicine)