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

Nicholas G Stephani, MD

Individual provider Diagnostic Radiology Physician · NPI 1114987203

Nicholas G Stephani, MD is a Diagnostic Radiology in Two Rivers, Wisconsin. Graduated from Medical College of Wisconsin in 1999, 27 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
27
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5000 Memorial Dr
Two Rivers, WI 54241-3900
Phone: (920) 794-5000
Show map & directions

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

Additional practice locations (1)

  • 202 S Park St, Madison, WI 53715 — (608) 267-6090

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 47002 (WI)

Record details

NPI number1114987203
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1999 (27 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare