DR. PAUL PHILLIP STEPANCZUK DPM NPI 1780788190

NPI Information

NPI: 1780788190
Provider Name: DR. PAUL PHILLIP STEPANCZUK, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
1650 45TH AVE
MUNSTER, IN
ZIP 46321
Phone: (219) 836-9488
Get Directions

DR. Paul Phillip Stepanczuk, DPM is a foot surgery podiatrist in Munster, IN. DR. Paul Phillip Stepanczuk, DPM NPI is 1780788190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 45TH AVE
MUNSTER, IN
ZIP 46321-962
Phone: (219) 836-9488
Fax: (219) 836-9497

The NPI 1780788190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	07000758	INDIANA	Yes
2	213ES0131X	Podiatrist	Foot Surgery		ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T37458	MEDICARE UPIN
2	406520	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
3	6002117465	OTHER	INDIANA	BLUE CROSS BL SHIELD
4	90000152	OTHER	ILLINOIS	BLUE CROSS BL SHIELD
5	647340	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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