Individual provider Active NPI

Justin Dale Stevens, MD

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1235385857
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.123376 Issued in OH
Practice address
395 W 12TH Ave
Columbus, OH 43210-1267
Phone
(614) 293-8315
Fax
(614) 293-6935
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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 35.123376 OH Primary

Addresses

Primary practice location

395 W 12TH Ave
Columbus, OH 43210-1267

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140620002073 OH Practitioner - Diagnostic Radiology 7719166933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians

Practice addresses (Care Compare)

395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Dec 12, 2020 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Jun 1, 2015 Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations (25 of 35)

1244 Meadow Bridge Dr
Beavercreek, OH 45434
Phone (937) 222-3118

2400 Lakeview Dr
Ste 100
Beavercreek, OH 45431
Phone (937) 429-4369

2400 Miami Valley Dr
Ste 210
Centerville, OH 45459

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046

395 W 12th Ave
Columbus, OH 43210
Phone (614) 293-8299

395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

1530 Needmore Rd
Ste 301
Dayton, OH 45414
Phone (937) 938-9960

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

1222 S Patterson Blvd
Ste 360
Dayton, OH 45402
Phone (937) 496-2620

1520 S Main St
Dayton, OH 45409
Phone (937) 223-1279

9000 N Main St
Ste 100
Englewood, OH 45415

9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400

9000 N Main St
Ste G
Englewood, OH 45415

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

742 Sweitzer St
Ste 3
Greenville, OH 45331
Phone (937) 459-5941

4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911

501 Atrium Dr
Middletown, OH 45005
Phone (937) 245-6320

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

4214 Grand Ave
Middletown, OH 45044
Phone (513) 727-8860

Organizations & group practices 3

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 4

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1235385857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JUSTIN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.123376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.