DR. STEPHANIE ANN ABUL (MD) – Dermatology Physician, NPI 1205366572
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. STEPHANIE ANN ABUL (MD)
4345 Winterwood Ln
Saginaw, MI 486038672
Phone: (989) 996-3269
Type: Location
4345 WINTERWOOD LN
SAGINAW, MI 486038672
Phone: (989) 996-3269
Type: Mailing
33875 KIELY DR
CHESTERFIELD, MI 480473604
Phone: (586) 725-6030
Type: Location
281, Dundee Ridge Drive, Dundee, Dundee Township, Monroe County, Michigan, 48131, United States
DUNDEE, MI 481319581
Phone: (989) 996-3269
Type: Mailing
1971, North Monroe Street, Arlington, Bloomington, Monroe County, Indiana, 47404, United States
MONROE, MI 481624255
Phone: (989) 996-3269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200102001440 | I | Family Practice | DC | TBD |
| I20200113002657 | I | Family Practice | VA | TBD |
| I20211020002678 | I | Family Practice | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48603)
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