Individual provider Active NPI

Michael J Stadnyk, M. D.

  • Diagnostic Radiology Physician
  • Chesterfield, MO
National Provider Identifier
1356455463
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
103346 Issued in MO
Practice address
36 Chesterfield Lake Road
Chesterfield, MO 63005-4505
Phone
(573) 334-6071
Fax
(573) 334-4739
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 61451 TN
Diagnostic Radiology Physician 2085R0202X 86524 GA
Diagnostic Radiology Physician 2085R0202X 103346 MO Primary

Addresses

Primary practice location

36 Chesterfield Lake Road
Chesterfield, MO 63005-4505

Mailing address

PO Box 2153 Dept 30755
Birmingham, AL 35287-9283
Phone (314) 238-5260

Other practice location 1

32 Chesterfield Lakes Rd
Chesterfield, MO 63005-4514
Phone (314) 420-9589

Other identifiers 9

IdentifierTypeStateIssuer
3848OtherCMR
P00295078OtherRAILROAD MEDICARE
208094714MedicaidMO
27716OtherGROUP HEALTH PLAN
G32279OtherMERCY HEALTH PLAN
Q061129MedicaidTN
332305OtherHEALTHLINK
194361OtherBLUE SHIELD
58770V12822OtherHEALTHCARE USA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN, TX, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040724000416 MO Practitioner - Diagnostic Radiology 2961482302 Reassigns benefits to 14 organizations
I20230410001323 TN Practitioner - Diagnostic Radiology 2961482302 Reassigns benefits to 3 organizations
I20260605003367 TX Practitioner - Diagnostic Radiology 2961482302 Reassigns benefits to 2 organizations
I20260618001972 GA Practitioner - Diagnostic Radiology 2961482302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Specialist Solutions LLCGroup PAC ID 3476040247, 31 clinicians
USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians
Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians
Pinnacle Healthcare LLCGroup PAC ID 3870939614, 22 clinicians
Radiology Associates of the Main Line P CGroup PAC ID 9931097193, 80 clinicians
USA Radiology of Pennsylvania LLCGroup PAC ID 0345594388, 22 clinicians

Practice addresses (Care Compare)

Chesterfield, MO 63017
Phone (361) 761-1000

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191

604 Spyglass Summit Dr
Chesterfield, MO 63017-2141
Phone (610) 237-4814

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1000

946 E Reed
Hayti, MO 63851
Phone (314) 821-8055

Hospital & facility affiliations

  • West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61451TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Mar 31, 2018 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Pinnacle Healthcare LLC Diagnostic Radiology CurrentSince Jan 17, 2026 Accepting new patients
Missouri Delta Medical Center Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince Dec 15, 2020 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Associates LTD Diagnostic Radiology Past Accepting new patients
Lauderdale Community Hospital LLC Past Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

10 Little Brook Rd
West Wareham, MA 02576

16091 Swingley Ridge Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 728-2222

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1356455463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 30755",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352879283",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CHESTERFIELD LAKE ROAD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054505",
            "telephone_number": "573-334-6071",
            "fax_number": "573-334-4739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Chesterfield Lakes Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630054514",
            "country_code": "US",
            "telephone_number": "314-420-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADNYK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "61451",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "86524",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "103346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR",
            "identifier": "3848",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00295078",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208094714",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "27716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "G32279",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q061129",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "332305",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "194361",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "58770V12822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.