DR. STEPHANIE LILY SOUKAR MD - NPI 1992375109 - Psychiatry & Neurology in Warren, MI

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

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About Dr. Stephanie Lily Soukar Md NPPES

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

DR. STEPHANIE LILY SOUKAR MD (NPI 1992375109) is an individual neurology provider in Warren, Michigan, licensed in Michigan (4351051915) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison Heights.

NPPES Registry Identity

NPI1992375109

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. STEPHANIE LILY SOUKARCredential: MD

Location Address11900 E 12 MILE RD STE 205Warren, MI 48093-3499

Mailing Address11900 E 12 Mile Rd Ste 205Warren, MI 48093-3499

Phone(586) 582-7033

Fax(586) 582-7034

Sole ProprietorNo

Enumeration DateJune 29, 2021

Last NPPES UpdateJuly 1, 20247 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1992375109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 4351051915

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11900 E 12 MILE RD STE 205, Warren, MI 48093

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Secondary Practice Location 1

Location 127351 Dequindre RdMadison Heights, MI 48071-3487 · Phone (248) 967-7123

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. Stephanie Lily Soukar 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 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.

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

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.