Active NPI
John Regis Stevenson, D.P.M.
- Podiatrist
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002504
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0757739 | Medicaid | OH |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1001 Shroyer Rd
Dayton, OH 45419-3635
Phone (937) 293-8448
Hospital & facility affiliations
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 14 |
| Removal of nail tissue | 746 |
| Removal or shaving of skin growth | 385 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2501 | OH | MD | Dentist |
| 36002504 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | Current | Accepting new patients |
| Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | Current | 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
- 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.
-
- Podiatrist
- Dayton, OH
- NPI 1538180674
-
- Podiatrist
- Vandalia, OH
- NPI 1841636883
-
- Podiatrist
- Wilmington, OH
- NPI 1982048633
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Boardman, OH
- NPI 1962455196
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.