Active NPI
Michael J Stadnyk, M. D.
- Diagnostic Radiology Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 103346
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3848 | Other | CMR | |
| P00295078 | Other | RAILROAD MEDICARE | |
| 208094714 | Medicaid | MO | |
| 27716 | Other | GROUP HEALTH PLAN | |
| G32279 | Other | MERCY HEALTH PLAN | |
| Q061129 | Medicaid | TN | |
| 332305 | Other | HEALTHLINK | |
| 194361 | Other | BLUE SHIELD | |
| 58770V12822 | Other | HEALTHCARE USA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TN, TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Havasu Regional Medical Center
- Phelps County Regional Medical Center
- Corpus Christi Medical Center,the
- Dyersburg Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61451 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| USA Radiology Management Solutions LLC | Diagnostic Radiology | Current | Accepting new patients |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Pinnacle Healthcare LLC | Diagnostic Radiology | Current | Accepting new patients |
| Missouri Delta Medical Center | Family Medicine | Current | Accepting new patients |
| Savannah Chatham Imaging LLC | Diagnostic Radiology | Current | 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.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
Family Medicine
-
- Diagnostic Radiology Physician
- Rolla, MO
- NPI 1689091076
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
MO
-
- Diagnostic Radiology Physician
- Corpus Christi, TX
- NPI 1982595856
MO
-
- Diagnostic Radiology Physician
- Paoli, PA
- NPI 1750332003
MO
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1508810573
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.