Active NPI
Amanda J Stephens, MD
- Maternal & Fetal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 2017014187
- Practice address
- 621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265 - Phone
- (314) 991-5000
- Fax
- (314) 991-5035
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 2017014187 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Mailing address
621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone (314) 991-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 S New Ballas Rd
Saint Louis, MO 63141-8265
Phone (314) 951-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Mercy Clinic Maternal Fetal Medicine LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
621 S New Ballas Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 951-5000
621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000
615 S New Ballas Rd
Ste 1211
Saint Louis, MO 63141
Phone (314) 991-5000
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 5
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.
-
- Maternal & Fetal Medicine Physician
- Saint Louis, MO
- NPI 1952810129
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1508177593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 2007B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418265",
"telephone_number": "314-991-5000",
"fax_number": "314-991-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 2007B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418265",
"telephone_number": "314-991-5000",
"fax_number": "314-991-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "AMANDA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "2017014187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.