DR. MICHAEL WAYNE STEVENS MD
NPI 1700249026
Pediatrics - Pediatric Critical Care Medicine in Peoria, IL

Q: What is Michael Stevens's NPI number?

The NPI number for Michael Stevens is 1700249026. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Michael Stevens's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Michael Stevens was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 April 04, 2016PECOS Enrolled

530 NE GLEN OAK AVE, PEORIA, IL 61637(093) 655-2000 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 5, 2023, Oct 19, 2020, Jul 12, 2016 (3 updates tracked since 2016).

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About Dr. Michael Wayne Stevens Md NPPES

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

DR. MICHAEL WAYNE STEVENS MD (NPI 1700249026) is an individual pediatric critical care medicine provider in Peoria, Illinois, licensed in Illinois (036.163090) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700249026

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. MICHAEL WAYNE STEVENSCredential: MD

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-5243

Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 655-4746

Phone(093) 655-2000

Sole ProprietorYes

Enumeration DateApril 4, 2016

Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1700249026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in IL · 036.163090✔ Licensed in MI · 4301501740

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125068180 (IL)

530 NE GLEN OAK AVE, Peoria, IL 61637

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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)

Dr. Michael Wayne Stevens 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.

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics