Organization Active NPI

Kevin D. Steffen Jr. DPM, PA

Doing business as Mountain Home Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Mountain Home, AR
National Provider Identifier
1215713300
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KEVIN D. STEFFEN JR. DPM, PA
Doing business as
Mountain Home Podiatry
Practice address
806 West Rd
Mountain Home, AR 72653-4510
Phone
(724) 944-2573
NPI assigned
Sep 5, 2023
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin D Steffen Jr., DPMNPI 1518259498
Title
DPM
Phone
(870) 580-5589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

806 West Rd
Mountain Home, AR 72653-4510

Mailing address

509 Steffen Hill LN
Oakland, AR 72661-8017
Phone (870) 580-5589

Other names 1

  • Mountain Home Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231020001723 AR Part B Supplier - Clinic/Group Practice 1951757350 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain Home, AR
O20240215003213 AR DME Supplier - Physician - Podiatry 1951757350 1 other NPI on this enrollment
Practice locations: Mountain Home, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIECDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1215713300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STEFFEN HILL LN",
            "city": "OAKLAND",
            "state": "AR",
            "postal_code": "726618017",
            "telephone_number": "870-580-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 WEST RD",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534510",
            "telephone_number": "724-944-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN D. STEFFEN JR. DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "STEFFEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "870-580-5589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Home Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Home Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.