Active NPI
Stephanie Ann Sedivy, M.D.
- Dermatopathology (Pathology) Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 0424745
- Practice address
- 7800 W 110TH St
Overland Park, KS 66210-2304 - Phone
- (913) 339-0416
- Fax
- (913) 319-4316
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 01095343A | IN | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 0424745 | KS | Primary |
| Dermatopathology (Pathology) Physician | 207ZD0900X | C4202 | KY | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 102716 | MO |
Addresses
Primary practice location
7800 W 110TH St
Overland Park, KS 66210-2304
Mailing address
2818 W 66TH Ter
Mission Hills, KS 66208-1811
Phone (913) 362-2227
Other practice location 1
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1264
Other practice location 2
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2856
Other practice location 3
4000 Cambridge St
Kansas City, KS 66160-8501
Phone (913) 588-1227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, IN, KY, TN, AL, TX, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Georgetown University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1000
2641 Rocky Ridge LN
Vestavia Hills, AL 35216-4809
Phone (615) 221-4400
3512 Old Montgomery Hwy
Homewood, AL 35209-5750
Phone (205) 879-2260
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (417) 502-3840
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160
Phone (615) 221-4447
Hospital & facility affiliations
- Owensboro Health Regional Hospital
- Adams Memorial Hospital
- Freeman Health System - Freeman West
- Lutheran Hospital of Indiana
- Perry County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01095343A | IN | MD | Dermatopathology (Pathology) Physician |
| 0424745 | KS | MD | Dermatopathology (Pathology) Physician |
| C4202 | KY | MD | Dermatopathology (Pathology) Physician |
| 102716 | MO | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Associated Pathologists, LLC | Dermatopathology | Current | Accepting new patients |
| Laboratory Corporation of America Holdings | Current | Accepting new patients | |
| Associated Pathologists LLC | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
3512 Old Montgomery Hwy
Homewood, AL 35209
Phone (205) 879-2260
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
7800 W 110th St
Overland Park, KS 66210
Phone (913) 339-0306
7800 W 110th St
Ste 200
Overland Park, KS 66210
1201 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 231-0204
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977
1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447
Organizations & group practices 11
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
AL, Dermatopathology, IN, KS, KY
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Multi-Specialty Clinic/Center
- Kansas City, KS
- NPI 1528019502
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
-
- Anatomic Pathology & Clinical Pathology Physician
- Dallas, TX
- NPI 1265477707
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Clinical Pathology/Laboratory Medicine Physician
- Kansas City, KS
- NPI 1861538795
-
- Clinical Medical Laboratory
- Overland Park, KS
- NPI 1285014282
-
- Dentist
- Westwood, KS
- NPI 1295845758
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1386673473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 W 66TH TER",
"city": "MISSION HILLS",
"state": "KS",
"postal_code": "662081811",
"telephone_number": "913-362-2227",
"fax_number": "913-362-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W 110TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102304",
"telephone_number": "913-339-0416",
"fax_number": "913-319-4316"
}
],
"practiceLocations": [
{
"address_1": "250 Park St",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421011760",
"country_code": "US",
"telephone_number": "270-745-1264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7950 W Jefferson Blvd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044140",
"country_code": "US",
"telephone_number": "260-435-2856",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Cambridge St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608501",
"country_code": "US",
"telephone_number": "913-588-1227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEDIVY",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "IN",
"license": "01095343A",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "KS",
"license": "0424745",
"primary": true
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "KY",
"license": "C4202",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "MO",
"license": "102716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.