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STEPHEN JAMES DVORAK MD
NPI 1952161317
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 21, 2024PECOS Enrolled
1 MEDICAL CENTER BLVD 3RD FLOOR, WINSTON SALEM, NC 27157(336) 716-3182(336) 716-5168 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephen James Dvorak Md NPPES

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

STEPHEN JAMES DVORAK MD (NPI 1952161317) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952161317
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN JAMES DVORAKCredential: MD
Location Address1 MEDICAL CENTER BLVD 3RD FLOORWinston Salem, NC 27157-0001
Mailing Address412 Woods Ave Sw Apt 2Roanoke, VA 24016-4800 · (630) 965-6408
Phone(336) 716-3182
Fax(336) 716-5168
Sole ProprietorNo
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1952161317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL CENTER BLVD 3RD FLOOR, Winston Salem, NC 27157
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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)

Stephen James Dvorak 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.

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 Stephen Dvorak's NPI number?

The NPI number for Stephen Dvorak is 1952161317. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Stephen Dvorak located?

Stephen Dvorak practices at 1 Medical Center Blvd 3rd Floor, Winston Salem, NC 27157. The listed phone number is (336) 716-3182.

What is Stephen Dvorak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Dvorak enrolled in Medicare?

Yes. Stephen Dvorak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Dvorak was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.