STEPHAN ROBERT IZZI (MD) – Family Medicine Physician, NPI 1629079173

STEPHAN ROBERT IZZI (MD) is a healthcare provider. based in Glen burnie, Maryland. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. D0025782 (MD). The NPI Number for STEPHAN ROBERT IZZI (MD) is 1629079173

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
STEPHAN ROBERT IZZI (MD)
NPI
1629079173
Phone
(410) 766-1444
Address
7575 RITCHIE HWY
Enumeration Date
9 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
4107661444
Graduation Year
1979 (47 years ago)
PAC ID
2567505811
Group Practice PAC ID
1658414909
Professional Enrollment ID
I20100209000016
Address ID
MD210613716GL7575XHWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,488 FAMILY PRACTICE in MD

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Provider Addresses for STEPHAN ROBERT IZZI (MD)

  • Ritchie Highway, Martindale, Glen Burnie, Anne Arundel County, Maryland, 21146, United States

    GLEN BURNIE, MD 210618951

    Phone: (410) 766-1444

    Fax: (410) 766-9453

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 207 Open Payments records for all available years, with a total value of $4,365.

Total Amount is formed as General ($4,365) + Research ($0) + Ownership ($0) = $4,365.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($623).

Total Amount

$4,365

General + Research + Ownership

Payments

207

Total payment records

General Amount

$4,365

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100209000016IFamily PracticeMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes684323$0
99214Established patient office or other outpatient visit, 30-39 minutes368240$0
99215Established patient office or other outpatient visit, 40-54 minutes5147$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5047$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
View full utilization report →

Insurance plans in this area (ZIP 21061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658414909View full group profile
NameSpecialtyState
Internal MedicineMD
Family PracticeMD
-MD
Nurse PractitionerMD

Reviews

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Frequently asked questions

How do I look up STEPHAN ROBERT IZZI (MD) by NPI?
Use NPI 1629079173 when you need to reference STEPHAN ROBERT IZZI (MD) in forms, claims, or directories.
Is STEPHAN ROBERT IZZI (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does STEPHAN ROBERT IZZI (MD) treat or focus on?
Patients typically see STEPHAN ROBERT IZZI (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for STEPHAN ROBERT IZZI (MD)?
We surface Glen Burnie, Maryland for STEPHAN ROBERT IZZI (MD) based on available NPPES addresses.
How can I contact STEPHAN ROBERT IZZI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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