Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES H STEIN MD
NPI 1427019348
Internal Medicine - Hypertension Specialist in Madison, WI

Active since March 30, 2006PECOS Enrolled
5 BRULE CIR, MADISON, WI 53717(608) 827-5216 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Jan 14, 2021 (2 updates tracked since 2021).

About James H Stein Md NPPES

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

JAMES H STEIN MD (NPI 1427019348) is an individual hypertension specialist in Madison, Wisconsin, licensed in Wisconsin (37769) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Yale University School Of Medicine (1990).

NPPES Registry Identity

NPI1427019348
Entity TypeIndividualMale
Primary Taxonomy207RH0005X
Provider Legal NameJAMES H STEINCredential: MD
Location Address5 BRULE CIRMadison, WI 53717-1800
Mailing Address5 Brule CirMadison, WI 53717-1800
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1990
Enumeration DateMarch 30, 2006
Last NPPES UpdateNovember 3, 20262 updates tracked since enumeration
NPPES CertifiedNovember 3, 2026
✔ NPI 1427019348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hypertension SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207RH0005X
License✔ Licensed in WI · 37769
Definition
A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 37769 (WI)
5 BRULE CIR, Madison, WI 53717

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James H Stein Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628158292
PECOS Enrollment IDI20080108000904
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 Reassignments

2

Medicare enrollment records show James Stein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
Family Medicine
1507 DOCTORS CT
Watertown, WI 53094
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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 James Stein's NPI number?

The NPI number for James Stein is 1427019348. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is James Stein located?

James Stein practices at 5 Brule Cir, Madison, WI 53717. The listed phone number is (608) 827-5216.

What is James Stein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hypertension Specialist, with taxonomy code 207RH0005X.

Is James Stein enrolled in Medicare?

Yes. James Stein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Stein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Stein reassigns Medicare benefits to 2 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI) and Watertown Physician Practices LLC (Watertown, WI). Each 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 James Stein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Stein accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz list James Stein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Stein affiliated with any hospitals?

According to CMS data, James Stein is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for James Stein was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.