Active NPI
Stephen J Johans, M.D.
- Neurological Surgery Physician
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036156623
- Practice address
- 3 Saint Elizabeth Blvd Ste 3900
O Fallon, IL 62269-1282 - Phone
- (888) 828-8608
- NPI assigned
- Apr 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 2019024514 | MO | |
| Neurological Surgery Physician | 207T00000X | 036156623 | IL | Primary |
Addresses
Primary practice location
3 Saint Elizabeth Blvd Ste 3900
O Fallon, IL 62269-1282
Mailing address
12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 806-1770
Other practice location 1
5301 Veterans Memorial Pkwy Ste 105
Saint Peters, MO 63376-3429
Phone (888) 828-8608
Other practice location 2
12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663
Phone (314) 806-1770
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) | Barnes Jewish St Peters Hospital Inc |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) | Progress West HealthCare Center |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) | Missouri Baptist Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Missouri, Columbia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Piper Hill Dr
Suite 12
Saint Peters, MO 63376-1690
Phone (636) 939-9202
12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
6812 State Route 162 200
Maryville, IL 62062-8562
Phone (618) 288-0900
6828 State Route 162
Suite a
Maryville, IL 62062-8558
Phone (618) 391-5380
Hospital & facility affiliations
- HSHS Home Care Illinois
- HSHS St Elizabeth'S Hospital
- St Lukes Hospital
- St Anthonys Memorial Hospital
- St Josephs Hospital
- Sparta Community Hospital
- SSM Health Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.16 of 100
- Quality
- 55.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 159 |
| Laminectomy or laminotomy (partial removal of spine bones) | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Urology of St. Louis, Inc. | Multi-Specialty | Current | Accepting new patients |
| Urology of St. Louis, Inc. | Multi-Specialty | Current | Accepting new patients |
| Urology of St. Louis, Inc. | Single Specialty | Past | Accepting new patients |
Locations
2044 Madison Ave
Ste G7
Granite City, IL 62040
Phone (314) 500-2424
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900
6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405
6828 State Route 162
Ste A
Maryville, IL 62062
Phone (618) 288-8363
3 Saint Elizabeth Blvd
Ste 3900
O Fallon, IL 62269
Phone (314) 806-1770
3 Saint Elizabeth Blvd
Ste 3200
O Fallon, IL 62269
Phone (618) 489-8030
12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415
12855 N 40 Dr
Ste 375
Saint Louis, MO 63141
3009 N Ballas Rd
Ste 250C
Saint Louis, MO 63131
Phone (314) 432-5616
12855 N 40 Dr
Ste 125
Saint Louis, MO 63141
Phone (314) 806-1770
112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376
Phone (314) 806-1770
5301 Veterans Memorial Pkwy
Ste 105
Saint Peters, MO 63376
Phone (314) 806-1770
112 Piper Hill Dr
Ste 3
Saint Peters, MO 63376
Phone (314) 806-1770
965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054
3195 Phoenix Center Dr
Washington, MO 63090
Phone (636) 231-5623
Networks
- IL HMO C-SNP
- IL PPO Downstate
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- stephenjohans@slus.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Chesterfield, MO
- NPI 1134291388
-
- Neurological Surgery Physician
- Saint Peters, MO
- NPI 1720732852
IL
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sparta, IL
- NPI 1548216476
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
- Home Health Agency
- Effingham, IL
- NPI 1891758678
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1013273580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N 40 DR STE 375",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418657",
"telephone_number": "314-806-1770",
"fax_number": "314-558-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD STE 3900",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691282",
"telephone_number": "888-828-8608"
}
],
"practiceLocations": [
{
"address_1": "5301 Veterans Memorial Pkwy Ste 105",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633763429",
"country_code": "US",
"telephone_number": "888-828-8608",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12855 N 40 Dr Ste 125",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418663",
"country_code": "US",
"telephone_number": "314-806-1770",
"fax_number": "314-558-9017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHANS",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "MO",
"license": "2019024514",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036156623",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "Y",
"endpointDescription": "bjc",
"affiliationName": "Barnes Jewish St Peters Hospital Inc",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "112 Piper Hill Dr Ste 12",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633761690",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "Y",
"endpointDescription": "bjc",
"affiliationName": "Progress West HealthCare Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "112 Piper Hill Dr Ste 12",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633761690",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "Y",
"endpointDescription": "bjc",
"affiliationName": "Missouri Baptist Medical Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5301 Veterans Memorial Pkwy Ste 105",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633763429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.