Individual provider Active NPI

Frederick Joseph Severs Jr., M.D.

  • Diagnostic Radiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1821292889
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2021016703 Issued in MO
Practice address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone
(573) 334-6071
Fax
(573) 334-4739
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 2021016703 MO Primary

Addresses

Primary practice location

70 Doctors Park
Cape Girardeau, MO 63703-4928

Mailing address

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD, MO, IL, KY5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20041015000631 TX Practitioner - Diagnostic Radiology 9830159631 Reassigns benefits to 4 organizations
I20180808002559 SD Practitioner - Diagnostic Radiology 9830159631 Reassigns benefits to 1 organization
I20210526002363 MO Practitioner - Diagnostic Radiology 9830159631 Reassigns benefits to 3 organizations
I20211109000953 IL Practitioner - Diagnostic Radiology 9830159631 Reassigns benefits to 1 organization
I20230628004228 KY Practitioner - Diagnostic Radiology 9830159631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Radiology Group PCGroup PAC ID 9830093236, 54 clinicians
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Texas County Memorial Hospital Hospital, Houston, MO, CCN 260024
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Hamilton Memorial Hospital Hospital, McLeansboro, IL, CCN 141326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021016703MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Sanford Clinic CurrentSince Jul 9, 2018 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Jul 9, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2011 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Sanford Clinic Current Accepting new patients
Mercy Hospital Perry Diagnostic Radiology Current Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2011 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2008 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology CurrentSince Jun 21, 2021 Accepting new patients
Southernmost Illinois Community Health Improvement Corporation CurrentSince May 22, 2024 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
Baylor College of Medicine Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine Diagnostic Radiology Past Accepting new patients
Boone Physician Services, LLC PastSince Dec 18, 2023 Accepting new patients
Southwestern Radiology Associates, P.a. Diagnostic Radiology PastSince Jul 10, 2011 Accepting new patients
American Teleradiology Inc Diagnostic Radiology Past Accepting new patients

Locations

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

405 W Jackson St
Carbondale, IL 62901

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

70 Doctors Park
Cpe Girardeau, MO 63703

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

1210 W 18th St
Ste LL03
Sioux Falls, SD 57104
Phone (605) 328-1410

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

5019 S Western Ave
Ste 200
Sioux Falls, SD 57108
Phone (605) 328-9700

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

5300 Altamesa Blvd
Ft Worth, TX 76133
Phone (817) 346-1800

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6620 Main St
Ste 1275
Houston, TX 77030
Phone (713) 798-2300

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

Interoperability endpoints

  • Direct secure messaging: frederick.severs.p1@direct.chesi.nextgenshare.com

Organizations & group practices 20

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 20

Hospital & facility affiliations 9

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1821292889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-6071",
            "fax_number": "573-334-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-6071",
            "fax_number": "573-334-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERS",
        "first_name": "FREDERICK",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2021016703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.