STEFAN HELMS
NPI 1700383247
Internal Medicine in Newark, NJ
About Stefan Helms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEFAN HELMS (NPI 1700383247) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (25MA11207500) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Stefan Helms 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.
Medicare Billing Reassignments
5Medicare enrollment records show Stefan Helms reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 2,579 clinicians in this Medicare group
Methuen, MA 01844
- Reassigned Medicare billing, Massachusetts enrollment
- 258 clinicians in this Medicare group
Lawrence, MA 01841
- Reassigned Medicare billing, Massachusetts enrollment
- 305 clinicians in this Medicare group
Salem, MA 01970
- Reassigned Medicare billing, Massachusetts enrollment
- 994 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 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lawrence General Hospital
Acute Care Hospitals · Lawrence, MABeth Israel Deaconess Hospital Plymouth
Acute Care Hospitals · Plymouth, MABeth Israel Deaconess Medical Center
Acute Care Hospitals · Boston, MANewark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJRobert Wood Johnson University Hospital
Acute Care Hospitals · New Brunswick, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Stefan Helms's NPI number?
The NPI number for Stefan Helms is 1700383247. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Stefan Helms located?
Stefan Helms practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (561) 859-4991.
What is Stefan Helms's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Stefan Helms enrolled in Medicare?
Yes. Stefan Helms 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 Stefan Helms's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Helms reassigns Medicare benefits to 5 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA), Lawrence General Hospital (Methuen, MA), Community Medical Associates, Inc. (Lawrence, MA) and Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA). 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 Stefan Helms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stefan Helms accept?
Health plans from Oscar Health and Taro Health list Stefan Helms 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 Stefan Helms affiliated with any hospitals?
According to CMS data, Stefan Helms is affiliated with Lawrence General Hospital, Beth Israel Deaconess Hospital Plymouth, Beth Israel Deaconess Medical Center, Newark Beth Israel Medical Center and Robert Wood Johnson University Hospital.
When was this NPI record last updated?
The NPPES record for Stefan Helms was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Stefan Helms · NPI 1700383247
Internal Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1700383247 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA11207500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (561) 859-4991 · **Fax:** (561) 548-1450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA); Lawrence General Hospital (NPI 1922514744, Methuen, MA); Community Medical Associates, Inc. (NPI 1144544040, Lawrence, MA); Mass General Brigham Medical Group Northern Massachusetts Inc (NPI 1588606123, Salem, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1700383247) · Data from the CMS NPPES public registry.