Individual provider Active NPI

Kevin Lessard Stiver

  • Interventional Cardiology Physician
  • Columbus, OH
National Provider Identifier
1356502280
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.095336 Issued in OH
Practice address
5131 Beacon Hill Rd Ste 120
Columbus, OH 43228-4442
Phone
(614) 486-2000
Fax
(614) 533-0052
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.095336 OH
Interventional Cardiology Physician 207RI0011X 35.095336 OH Primary

Addresses

Primary practice location

5131 Beacon Hill Rd Ste 120
Columbus, OH 43228-4442

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102

Other identifiers 1

IdentifierTypeStateIssuer
3119020MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kstiver152418@direct.ohiohealth.com OhioHealth Physician Group

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
I20110613000035 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476730839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

5131 Beacon Hill Rd
Suite 120
Columbus, OH 43228-4412
Phone (614) 262-6772

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting47
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.095336OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 1, 2016 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5131 Beacon Hill Rd
Ste 120
Columbus, OH 43228
Phone (614) 544-1994

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5131 Beacon Hill Rd
Ste 220B
Columbus, OH 43228
Phone 61429416037

Dept L3652
Columbus, OH 43260

3705 Olentangy River Rd
Ste 100
Columbus, OH 43214

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

4343 All Seasons Dr
Ste 250
Hilliard, OH 43026
Phone (614) 566-0501

Interoperability endpoints

  • Direct secure messaging: kevin.stiver.1@17598.direct.athenahealth.com

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 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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1356502280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 BEACON HILL RD STE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432284442",
            "telephone_number": "614-486-2000",
            "fax_number": "614-533-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVER",
        "first_name": "KEVIN",
        "middle_name": "LESSARD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.095336",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.095336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119020",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstiver152418@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "5131 Beacon Hill Rd",
            "address_2": "Ste 120",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432284442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.