DR. JORDAN LEE STAV MD
NPI 1942865894
Emergency Medicine in Warren, MI
About Dr. Jordan Lee Stav Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN LEE STAV MD (NPI 1942865894) is an individual emergency medicine provider in Warren, Michigan, licensed in Michigan (4301506040) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Jordan Lee Stav 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jordan Stav reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Observation Emergency Physicians PC
- 158 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan and Ohio enrollments
- Medicare enrollment name: Independent Emergency Physicians PC
- 273 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 239 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 10
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIMagruder Hospital
Critical Access Hospitals · Port Clinton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48093 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.
WARREN, MI 48093
WARREN, MI 48093
WARREN, MI 48093
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 Jordan Stav's NPI number?
The NPI number for Jordan Stav is 1942865894. It was assigned to this individual provider in the NPPES registry on May 7, 2019.
Where is Jordan Stav located?
Jordan Stav practices at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-5000.
What is Jordan Stav's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jordan Stav enrolled in Medicare?
Yes. Jordan Stav 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 Jordan Stav's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Stav reassigns Medicare benefits to 4 organizations: Emergency Department Physicians, P.C. (Detroit, MI), Observation Emergency Physicians, P.C. (Detroit, MI), Independent Emergency Physicians, P.C. (Southfield, MI) and Independent Observation Physicians PLLC (Southfield, MI). 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 Jordan Stav's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Stav accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jordan Stav 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 Jordan Stav affiliated with any hospitals?
According to CMS data, Jordan Stav is affiliated with Ascension Providence Hospital, Southfield And Novi, Ascension Macomb Oakland Hosp-Warren Campus and Magruder Hospital.
When was this NPI record last updated?
The NPPES record for Jordan Stav was last updated on May 3, 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.
# Dr. Jordan Lee Stav, MD · NPI 1942865894
Emergency Medicine physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since May 7, 2019.
## Identity
- **NPI:** 1942865894 (Entity type: Individual)
- **Enumerated:** May 7, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4301506040 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 11800 E 12 MILE RD, Warren, MI 48093-3472
- **Phone:** (586) 573-5000
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Department Physicians, P.C. (NPI 1225083595, Detroit, MI); Observation Emergency Physicians, P.C. (NPI 1497920524, Detroit, MI); Independent Emergency Physicians, P.C. (NPI 1780791343, Southfield, MI); Independent Observation Physicians PLLC (NPI 1700119500, Southfield, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942865894) · Data from the CMS NPPES public registry.