Individual provider Active NPI

Stephen A Colvin, MD

  • Diagnostic Radiology Physician
  • Mesa, AZ
National Provider Identifier
1215926274
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27762 Issued in AZ
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215926274OtherAZBCBSAZ
1Z7135OtherAZHEALTH NET
Z142686OtherAZMEDICARE PTAN - EVDI
82680OtherAZJRL
574857MedicaidAZ
Z142685OtherMEDICCARE PTAN - ARL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GA, TX, FL, IL, MO6 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.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20040621001473 AZ Practitioner - Diagnostic Radiology 8527043884 Reassigns benefits to 11 organizations
I20240416000806 GA Practitioner - Interventional Radiology 8527043884 Reassigns benefits to 2 organizations
I20241213003002 TX Practitioner - Diagnostic Radiology 8527043884 Reassigns benefits to 9 organizations
I20250721000382 FL Practitioner - Diagnostic Radiology 8527043884 Reassigns benefits to 2 organizations
I20250912003381 IL Practitioner - Diagnostic Radiology 8527043884 Reassigns benefits to 2 organizations
I20260514003588 MO Practitioner - Diagnostic Radiology 8527043884 Reassigns benefits to 1 organization

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
Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians
North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Fisher County Hospital DistrictGroup PAC ID 2163311465, shared by 4 NPIs, 27 clinicians

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

LicenseStateTypeSpecialty
036.176148ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Current Accepting new patients
North Star CN, LP CurrentSince Jan 26, 2026 Accepting new patients
North Star FP, LP CurrentSince Oct 15, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
County of Yoakum CurrentSince Jan 25, 2026 Accepting new patients
Fisher County Hospital District Current Accepting new patients
North Star FM, LP CurrentSince Oct 15, 2025 Accepting new patients
Comanche County Medical Center Company CurrentSince Jul 1, 2025 Accepting new patients
Buchmann Biomedical Imaging LLC CurrentSince Apr 1, 2026 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 1, 2025 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Oct 15, 2025 Accepting new patients
Martin County Hospital District CurrentSince May 1, 2025 Accepting new patients
Fisher County Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Fisher County Hospital District CurrentSince Jul 21, 2025 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 15, 2025 Accepting new patients
Comanche County Medical Center Company CurrentSince Jul 1, 2025 Accepting new patients
Martin County Hospital District Current Accepting new patients
North Star NPT LP CurrentSince Oct 15, 2025 Accepting new patients
Fisher County Hospital District CurrentSince Dec 1, 2024 Accepting new patients
County of Yoakum CurrentSince Jan 25, 2026 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jul 30, 2025 Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology CurrentSince Dec 23, 2023 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Apr 21, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 1, 2025 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 PastSince Jan 1, 1991 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.

View all 38

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.