DOMINIQUE MAYA STEVENS (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1346604725
Sports Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DOMINIQUE MAYA STEVENS (M.D.)
633 EMERSON ST
EVANSTON, IL 602080844
Phone: (847) 491-5470
Fax: (847) 491-5919
Type: Location
55, Arch Street, Arlington, Cascade Valley, Akron, Summit County, Ohio, 44304, United States
STE 3A
AKRON, OH 443041447
Phone: (330) 375-3584
Fax: (234) 312-2307
Type: Mailing
525 E Market St
Akron, OH 443041619
Phone: (330) 375-3761
Type: Location
Summa Health System – Akron Campus, 525, East Market Street, Arlington, Akron, Summit County, Ohio, 44304, United States
AKRON, OH 443041619
Phone: (330) 375-3761
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: 2021-11-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211101001452 | I | Family Practice | IL | 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 60208)
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