Individual provider Active NPI

David C Stepanek, M.D.

  • Diagnostic Radiology Physician
  • Yakima, WA
National Provider Identifier
1225059736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00019051 Issued in WA
Practice address
315 Holton Ave Ste 102
Yakima, WA 98902-3240
Phone
(509) 895-0402
Fax
(509) 248-0733
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00019051 WA Primary

Addresses

Primary practice location

315 Holton Ave Ste 102
Yakima, WA 98902-3240

Mailing address

PO Box 2925
Yakima, WA 98907-2925
Phone (509) 895-0402

Other identifiers 1

IdentifierTypeStateIssuer
8131658MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000932 WA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 7113927997

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2925 PO Box
Yakima, WA 98907-2925

PO Box
Suite 2925
Yakima, WA 98907-2925

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00019051WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Imaging Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dstepanek773539@direct.multicare.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225059736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2925",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072925",
            "telephone_number": "509-895-0402",
            "fax_number": "509-248-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOLTON AVE STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023240",
            "telephone_number": "509-895-0402",
            "fax_number": "509-248-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANEK",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00019051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8131658",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.