Individual provider Active NPI

John Regis Stevenson, D.P.M.

  • Podiatrist
  • Dayton, OH
National Provider Identifier
1336248335
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002504 Issued in OH
Practice address
8721 N Main St
Dayton, OH 45415-1331
Phone
(937) 264-3150
Fax
(513) 858-7827
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002504 OH Primary

Addresses

Primary practice location

8721 N Main St
Dayton, OH 45415-1331

Mailing address

6200 Pleasant Ave
Suite 3
Fairfield, OH 45014-4670
Phone (937) 435-6585

Other identifiers 1

IdentifierTypeStateIssuer
0757739MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031226000121 OH Practitioner - Podiatry 2567366644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Foot and Ankle Specialists of Ohio IncGroup PAC ID 5799719613, 3 clinicians

Practice addresses (Care Compare)

1001 Shroyer Rd
Dayton, OH 45419-3635
Phone (937) 293-8448

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue746
Removal or shaving of skin growth385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2501OHMDDentist
36002504OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Foot and Ankle Specialists of Ohio Inc Podiatrist CurrentSince Jan 16, 2009 Accepting new patients
Associated Foot and Ankle Specialists of Ohio Inc Podiatrist CurrentSince Jan 16, 2009 Accepting new patients
Gerald K Perelman DPM Podiatrist Past Accepting new patients
Ohio Sports & Spine Institute, LTD Past Accepting new patients

Locations

8721 N Main St
Dayton, OH 45415
Phone (937) 223-7106

7301 Far Hills Ave
Dayton, OH 45459
Phone (937) 433-0444

1001 Shroyer Rd
Dayton, OH 45419
Phone (855) 669-7843

1989 Miamisburg Centerville Rd
Ste 200
Dayton, OH 45459
Phone (937) 832-7691

6200 Pleasant Ave
Ste 3
Fairfield, OH 45014
Phone (513) 745-9988

Interoperability endpoints

  • Direct secure messaging: johnstevenson@afaso.allscriptsdirect.net

Organizations & group practices 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1336248335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PLEASANT AVE",
            "address_2": "SUITE 3",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144670",
            "telephone_number": "937-435-6585",
            "fax_number": "937-435-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151331",
            "telephone_number": "937-264-3150",
            "fax_number": "513-858-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JOHN",
        "middle_name": "REGIS",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0757739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.