Individual provider Active NPI

Stephanie Ann Sedivy, M.D.

  • Dermatopathology (Pathology) Physician
  • Overland Park, KS
National Provider Identifier
1386673473
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
0424745 Issued in KS
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

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20051128000721 KS Practitioner - Pathology 2961475967 Reassigns benefits to 3 organizations
I20250903000640 IN Practitioner - Pathology 2961475967 Reassigns benefits to 1 organization
I20250910004562 KY Practitioner - Pathology 2961475967 Reassigns benefits to 1 organization
I20251017003814 TN Practitioner - Pathology 2961475967 Reassigns benefits to 1 organization
I20260102002809 AL Practitioner - Pathology 2961475967 Reassigns benefits to 1 organization
I20260417001496 TX Practitioner - Pathology 2961475967 Reassigns benefits to 1 organization
I20260615000395 MO Practitioner - Pathology 2961475967 Reassigns benefits to 1 organization

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
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

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 Hospital, Owensboro, KY, CCN 180038
  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01095343AINMDDermatopathology (Pathology) Physician
0424745KSMDDermatopathology (Pathology) Physician
C4202KYMDDermatopathology (Pathology) Physician
102716MOMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Hospital Authority CurrentSince Aug 26, 2025 Accepting new patients
University of Kansas Hospital Authority CurrentSince Aug 26, 2025 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 26, 2025 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 26, 2025 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Associated Pathologists, LLC Dermatopathology CurrentSince Jun 27, 2025 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.

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": "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

Verify at the official NPI Registry.