Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Willis W Stevenson III, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1780736645

Dr. Willis W Stevenson III, MD is a Sports Medicine in Elkhart, Indiana. Graduated from University of Pittsburgh School of Medicine in 2001, 25 years ago. Practices with Orthopedic and Sports Medicine Center of Northern Indiana Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
25
Trained at
University of Pittsburgh School of Medicine
Licensed in
IN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2310 California Rd
Elkhart, IN 46514-1228
Phone: (574) 264-4163
Fax: (574) 262-9650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 01062348A (IN)

Record details

NPI number1780736645
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Orthopedic And Sports Medicine Center Of Northern Indiana Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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