Individual provider Active NPI

Emily Milford Stevenson, M.D.

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1194174110
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2024030402 Issued in MO
Practice address
816 S Kirkwood Rd Ste 210
Saint Louis, MO 63122-6056
Phone
(314) 645-4500
Fax
(314) 645-5907
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SC 650 clinicians

Practice addresses (Care Compare)

816 S Kirkwood Rd
Suite 210
Saint Louis, MO 63122-6056
Phone (314) 645-4500

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions676
Removal or shaving of skin growth68
Skin biopsy91

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200821001856 IL Practitioner - Dermatology 6507144516 Reassigns benefits to 1 organization
I20240831000046 MO Practitioner - Dermatology 6507144516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036151910ILMDDermatology Physician
2024030402MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 21, 2024 Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Oct 1, 2023 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 21, 2024 Accepting new patients
St. Louis Dermatology and Surgery Center, PC Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Central Dupage Physician Group PastSince Oct 1, 2020 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

1733 N Harlem Ave
Chicago, IL 60707
Phone (773) 237-6666

1765 N Elston Ave
Ste 110
Chicago, IL 60642
Phone (773) 276-1100

917 Remington Rd
Mattoon, IL 61938
Phone (217) 205-3376

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

816 S Kirkwood Rd
Ste 210
Saint Louis, MO 63122
Phone (314) 645-4500

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036151910 IL
Dermatology Physician 207N00000X 2024030402 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

816 S Kirkwood Rd Ste 210
Saint Louis, MO 63122-6056

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other names 1

NPPES NPI Registry
  • Emily Elizabeth Milford Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address Emily.Stevenson@forefrontdermatology.emadirect.md Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2024.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1194174110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S KIRKWOOD RD STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226056",
            "telephone_number": "314-645-4500",
            "fax_number": "314-645-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "EMILY",
        "middle_name": "MILFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036151910",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2024030402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emily.Stevenson@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "816 S Kirkwood Rd Ste 210",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631226056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MILFORD",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.