Active NPI
Stephen L Dickson Jr., MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 04-49632
- Practice address
- 600 SW College Ave
Topeka, KS 66606-1684 - Phone
- (785) 233-9643
- NPI assigned
- Jul 8, 2005
- Last updated
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 04-49632 | KS | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 43991 | KY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01058168A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301114501 | MI |
Addresses
Primary practice location
600 SW College Ave
Topeka, KS 66606-1684
Mailing address
1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 983-8172
Other practice location 1
3 Audubon Plaza Dr Ste 1319
Louisville, KY 40217-1319
Phone (502) 636-8004
Other practice location 2
2500 Niles Rd Ste 6
Saint Joseph, MI 49085-3268
Phone (269) 408-1660
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000057094V | Other | KY | HUMANA- CTS |
| 200455130 | Medicaid | IN | |
| 4001605 | Other | KY | CIGNA- CTS |
| 50031859 | Other | KY | PASSPORT- CTS |
| 200455130A | Medicaid | IN | |
| 000000701004 | Other | KY | ANTHEM- CTS |
| 64076821 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Miami Medical College, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-49632 | KS | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| Ohio Valley Heartcare Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
600 SW College Ave
Topeka, KS 66606
Phone (785) 233-0292
Interoperability endpoints
- sdickson@mybeacon.cernerdirect.com
- sdickson32221@lakeland.midirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1770008849
-
dba The University of Kansas Physicians Topeka
- Rural Health Clinic/Center
- Valley Falls, KS
- NPI 1902395262
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1124078852
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The University of Kansas Health System, St. Francis Campus
- General Acute Care Hospital
- Topeka, KS
- NPI 1912423260
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1720086242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 NAPIER AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852112",
"telephone_number": "269-983-8172",
"fax_number": "699-854-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SW COLLEGE AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061684",
"telephone_number": "785-233-9643"
}
],
"practiceLocations": [
{
"address_1": "3 Audubon Plaza Dr Ste 1319",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402171319",
"country_code": "US",
"telephone_number": "502-636-8004",
"fax_number": "502-636-8384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Niles Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490853268",
"country_code": "US",
"telephone_number": "269-408-1660",
"fax_number": "269-408-1665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKSON",
"first_name": "STEPHEN",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KS",
"license": "04-49632",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "43991",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01058168A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301114501",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA- CTS",
"identifier": "000057094V",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200455130",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA- CTS",
"identifier": "4001605",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT- CTS",
"identifier": "50031859",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200455130A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM- CTS",
"identifier": "000000701004",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64076821",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.