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JOHNATHAN STEPHAN MD
NPI 1558942268
Internal Medicine - Cardiovascular Disease in Southfield, MI

Active since April 15, 2021PECOS Enrolled
22250 PROVIDENCE DR STE 705, SOUTHFIELD, MI 48075(248) 552-9858 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 2, 2025, Sep 17, 2024, May 28, 2021 and 1 more (4 updates tracked since 2021).

About Johnathan Stephan Md NPPES

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

JOHNATHAN STEPHAN MD (NPI 1558942268) is an individual cardiovascular disease provider in Southfield, Michigan, licensed in Michigan (4301514036) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558942268
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHNATHAN STEPHANCredential: MD
Location Address22250 PROVIDENCE DR STE 705Southfield, MI 48075
Mailing Address22250 Providence Dr Ste 705Southfield, MI 48075-6215 · (248) 552-9858 · Fax (248) 849-9510
Phone(248) 552-9858
Sole ProprietorNo
Enumeration DateApril 15, 2021
Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1558942268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MI · 4301514036
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 35.150818 (OH)
22250 PROVIDENCE DR STE 705, Southfield, MI 48075
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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)

Johnathan Stephan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

ASHLEY LAMBERT PAC
Physician Assistant
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (248) 522-9858
ZIAD AFFAS
Internal Medicine (Cardiovascular Disease)
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (248) 993-5678
STEPHEN DANIEL LYNCH M.D.
Internal Medicine (Interventional Cardiology)
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (248) 552-9858
SABA DARDA M.D.
Internal Medicine (Cardiovascular Disease)
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (248) 552-9858
DR. NIKHIL GANDHI D.O.
Internal Medicine (Interventional Cardiology)
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (248) 552-9858
ANKITA AGGARWAL
Internal Medicine (Cardiovascular Disease)
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (248) 552-9858
DR. CHRISTOPHER JOSEPH BRADLEY D.O.
Internal Medicine (Clinical Cardiac Electrophysiology)
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (485) 529-8582
MR. WADIE SHUKRI DAVID DO
Internal Medicine (Cardiovascular Disease)
22250 PROVIDENCE DR STE 705
SOUTHFIELD, MI 48075
Oakland County (248) 552-9858

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 Johnathan Stephan's NPI number?

The NPI number for Johnathan Stephan is 1558942268. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Johnathan Stephan located?

Johnathan Stephan practices at 22250 Providence Dr Ste 705, Southfield, MI 48075. The listed phone number is (248) 552-9858.

What is Johnathan Stephan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Johnathan Stephan enrolled in Medicare?

Yes. Johnathan Stephan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnathan Stephan was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.