Individual provider Active NPI

Stephen M. Elksnis, M.D.

  • Diagnostic Radiology Physician
  • Charleston, WV
National Provider Identifier
1669476271
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15804 Issued in WV
Practice address
1538 Kanawha Blvd E
Charleston, WV 25311-2435
Phone
(304) 344-3457
Fax
(304) 344-3480
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15804 WV Primary

Addresses

Primary practice location

1538 Kanawha Blvd E
Charleston, WV 25311-2435

Mailing address

PO Box 11137
Charleston, WV 25339-1137
Phone (304) 344-3457

Other identifiers 13

IdentifierTypeStateIssuer
0119093000MedicaidWV
020011800OtherWVFEDERAL BLACK LUNG
F23074OtherWVBRICKSTREET INSURANCE
14193OtherWVCARELINK & CARELINK PEIA
0130753OtherWVUMWA
550516458OtherWVACORDIA NATIONAL PEIA
0855392MedicaidOH
55-0516458OtherWVGROUP FEIN #
550516458MedicaidWV
64699069MedicaidKY
001718804OtherWVFREEDOM BLUE & MS BCBS
151237200OtherWVUS DOL & US POSTAL COMP
14175MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040817000179 WV Practitioner - Diagnostic Radiology 6406828193 Reassigns benefits to 16 organizations
I20250702002114 KY Practitioner - Diagnostic Radiology 6406828193 Reassigns benefits to 1 organization
I20251022003863 TN Practitioner - Diagnostic Radiology 6406828193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, shared by 35 NPIs, 427 clinicians
Community Health AssociationGroup PAC ID 1759291313, 69 clinicians
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

100 Hunting Hills Dr
Charleston, WV 25311-9747
Phone (615) 312-0600

122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731

1624 Loudon Heights Rd
Charleston, WV 25314-1504
Phone (615) 312-0600

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

911 Bypass Rd
BLDG a
Pikeville, KY 41501-1689
Phone (606) 430-3500

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adi Radiology PC Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Jan 24, 2026 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Mar 13, 2025 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
THS Physician Partners Inc CurrentSince Aug 23, 2024 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Jun 27, 2025 Accepting new patients
Associated Radiologists, Inc. Diagnostic Radiology CurrentSince Oct 1, 1999 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Jul 8, 2025 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Dec 31, 2024 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Dec 2, 2024 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 2, 2025 Accepting new patients
Pikeville Medical Center Inc CurrentSince Dec 31, 2024 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Dec 2, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 27, 2025 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Apr 20, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 3, 2024 Accepting new patients
Radiological Physician Associates Inc Diagnostic Radiology Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Community Health Association Past Accepting new patients
Charleston Radiation Therapy Consultants PLLC Past Accepting new patients
Greenbrier Clinic, Inc. Diagnostic Radiology PastSince Oct 1, 1999 Accepting new patients

Locations (25 of 66)

1937 Momentum Pl
Chicago, IL 60689

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

295 Main St
Calhoun, KY 42327
Phone (270) 273-9310

140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780

107 E Main St
Earlington, KY 42410
Phone (270) 383-2521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

210 N Main St
Morgantown, KY 42261
Phone (270) 504-1300

2200 E Parrish Ave
Bldg D
Owensboro, KY 42303
Phone (270) 688-1770

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

238 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 430-2230

911 Bypass Rd
Bldg D
Pikeville, KY 41501
Phone (606) 430-4673

723 S Lake Dr
Prestonsburg, KY 41653
Phone (606) 430-2225

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 5

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1669476271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11137",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391137",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112435",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKSNIS",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "15804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119093000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020011800",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET INSURANCE",
            "identifier": "F23074",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK & CARELINK PEIA",
            "identifier": "14193",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0130753",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACORDIA NATIONAL PEIA",
            "identifier": "550516458",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855392",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP FEIN #",
            "identifier": "55-0516458",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550516458",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64699069",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM BLUE & MS BCBS",
            "identifier": "001718804",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL & US POSTAL COMP",
            "identifier": "151237200",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14175",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.