Active NPI
Stephen A Colvin, MD
- Diagnostic Radiology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 27762
- Practice address
- 1125 E Southern Ave
Ste 300
Mesa, AZ 85204-5045 - Phone
- (480) 545-8119
- Fax
- (480) 926-8332
- NPI assigned
- Oct 20, 2005
- Last updated
- Sep 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C210152 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 27762 | AZ | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036.176148 | IL |
Addresses
Primary practice location
1125 E Southern Ave
Ste 300
Mesa, AZ 85204-5045
Mailing address
1125 E Southern Ave
Ste 300
Mesa, AZ 85204-5045
Phone (480) 545-8119
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215926274 | Other | AZ | BCBSAZ |
| 1Z7135 | Other | AZ | HEALTH NET |
| Z142686 | Other | AZ | MEDICARE PTAN - EVDI |
| 82680 | Other | AZ | JRL |
| 574857 | Medicaid | AZ | |
| Z142685 | Other | MEDICCARE PTAN - ARL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, GA, TX, FL, IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lawrence County Memorial HospitalFisher County Hospital District
Practice addresses (Care Compare)
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 877-5183
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (407) 738-4085
2122 Manchester Expy
Columbus, GA 31904-6878
Phone (407) 738-4085
2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-1000
2937 E Marlene Dr
Gilbert, AZ 85296-9460
Phone (214) 618-3153
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
774 State Hwy 70 N
Rotan, TX 79546-6918
Phone (325) 735-2256
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.176148 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Pathologists, LLC | Current | Accepting new patients | |
| North Star CN, LP | Current | Accepting new patients | |
| North Star FP, LP | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| County of Yoakum | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| North Star FM, LP | Current | Accepting new patients | |
| Comanche County Medical Center Company | Current | Accepting new patients | |
| Buchmann Biomedical Imaging LLC | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| North Star Diagnostic Imaging, LLC | Current | Accepting new patients | |
| Martin County Hospital District | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| North Star MRI of Frisco LP | Current | Accepting new patients | |
| Comanche County Medical Center Company | Current | Accepting new patients | |
| Martin County Hospital District | Current | Accepting new patients | |
| North Star NPT LP | Current | Accepting new patients | |
| Fisher County Hospital District | Current | Accepting new patients | |
| County of Yoakum | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Vesta Telemedicine Solutions, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| East Valley Diagnostic Imaging LLC | Past | Accepting new patients | |
| Lawrence County Memorial Hospital | Past | Accepting new patients | |
| North Star Plano Parkway, LP | Past | Accepting new patients | |
| Associated Radiologists LTD | Past | Accepting new patients |
Locations
725 S Dobson Rd
Ste 105B
Chandler, AZ 85224
Phone (480) 786-2850
13657 W McDowell Rd
Ste 207
Goodyear, AZ 85395
Phone (602) 815-5358
130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900
1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033
9125 W Thunderbird Rd
Ste 105
Peoria, AZ 85381
Phone (623) 234-8725
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
5501 N 19th Ave
Ste 111
Phoenix, AZ 85015
Phone (602) 246-2490
9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555
1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
1260 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 422-5413
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000
3450 Bridgeland Dr
Ste F
Bridgeton, MO 63044
Phone (314) 831-4200
10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910
412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256
600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 38
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
dba Vesta Radiology Services
- Diagnostic Radiology Physician
- Glendale, CA
- NPI 1952902116
AZ, GA, TX
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Physiological Laboratory
- Bridgeton, MO
- NPI 1346831625
-
- Critical Access Hospital
- Comanche, TX
- NPI 1346544616
-
dba Clearfork Health Center
- Rural Health Clinic/Center
- Rotan, TX
- NPI 1104808112
-
- Critical Access Hospital
- Rotan, TX
- NPI 1598746703
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1396024162
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1881643401
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Anson, TX
- NPI 1457393571
-
dba Emanuel Medical Center
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
-
dba Lake Granbury Medical Center
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
-
dba Mountain Lakes Medical Center
- Critical Access Hospital
- Clayton, GA
- NPI 1326191180
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1215926274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 E SOUTHERN AVE",
"address_2": "STE 300",
"city": "MESA",
"state": "AZ",
"postal_code": "852045045",
"telephone_number": "480-545-8119",
"fax_number": "480-926-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 E SOUTHERN AVE",
"address_2": "STE 300",
"city": "MESA",
"state": "AZ",
"postal_code": "852045045",
"telephone_number": "480-545-8119",
"fax_number": "480-926-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C210152",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "27762",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.176148",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAZ",
"identifier": "1215926274",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1Z7135",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - EVDI",
"identifier": "Z142686",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JRL",
"identifier": "82680",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "574857",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICCARE PTAN - ARL",
"identifier": "Z142685",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.