Individual provider Active NPI

Kevin Dean Steffen Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Mountain Home, AR
National Provider Identifier
1518259498
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
257 Issued in AR
Practice address
806 West Rd
Mountain Home, AR 72653-4510
Phone
(870) 580-5589
Fax
(870) 580-5590
NPI assigned
May 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 257 AR Primary
Durable Medical Equipment & Medical Supplies 332B00000X AR

Addresses

Primary practice location

806 West Rd
Mountain Home, AR 72653-4510

Mailing address

806 West Rd
Mountain Home, AR 72653-4510
Phone (870) 580-5589

Other practice location 1

4 Medical Plz
Mountain Home, AR 72653-2919
Phone (501) 327-3668

Other identifiers 2

IdentifierTypeStateIssuer
1518259498MedicaidMO
205186717MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602000504 AR Practitioner - Podiatry 4183847627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

806 W Rd
Mountain Home, AR 72653-4510
Phone (870) 580-5589

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue233
Removal of skin lesions45
Removal of nail tissue944
Removal or shaving of skin growth221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin D. Steffen Jr. DPM, PA Single Specialty CurrentSince Jul 18, 2023 Accepting new patients
Kevin D. Steffen Jr. DPM, PA Durable Medical Equipment & Medical Supplies CurrentSince Sep 10, 2023 Accepting new patients
Ozarks Medical Center Single Specialty Past Accepting new patients

Locations

806 West Rd
Mountain Home, AR 72653
Phone (724) 944-2573

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIECDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIECDD/Endpoint/IIECDD

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 3

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1518259498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 WEST RD",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534510",
            "telephone_number": "870-580-5589",
            "fax_number": "870-580-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 WEST RD",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534510",
            "telephone_number": "870-580-5589",
            "fax_number": "870-580-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726532919",
            "country_code": "US",
            "telephone_number": "501-327-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFFEN",
        "first_name": "KEVIN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AR",
            "license": "257",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518259498",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205186717",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.