Active NPI
Stephen D Clark, MD
- Diagnostic Radiology Physician
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 04-26770
- Practice address
- 20333 W 151St St
Olathe, KS 66061-5350 - Phone
- (913) 791-4291
- NPI assigned
- Nov 19, 2005
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 04-26770 | KS | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 0426770 | KS | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 0426770 | KS | |
| Therapeutic Radiology Physician | 2085R0203X | 0426770 | KS | |
| Pediatric Radiology Physician | 2085P0229X | 0426770 | KS | |
| Nuclear Radiology Physician | 2085N0904X | 0426770 | KS | |
| Neuroradiology Physician | 2085N0700X | 0426770 | KS | |
| Body Imaging Physician | 2085B0100X | 0426770 | KS |
Addresses
Primary practice location
20333 W 151St St
Olathe, KS 66061-5350
Mailing address
5800 Foxridge Dr
Ste 240
Mission, KS 66202-2347
Phone (913) 261-3153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100331230D | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Overland Park, KS 66221
Phone (913) 599-6777
1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-2250
1100 Highland Dr
Concordia, KS 66901-3923
Phone (785) 243-1234
1101 N Rock Rd
Derby, KS 67037-3705
Phone (316) 788-6963
1124 W 21St St
Kansas Medical Center
Andover, KS 67002-5500
Phone (316) 300-4000
11717 W 112TH St
Overland Park, KS 66210-2761
1400 W 4TH St
Coffeyville, KS 67337-3306
Phone (620) 251-1200
1527 Madison St
Fredonia, KS 66736-1751
Phone (620) 378-2121
17101 Canterbury St
Stilwell, KS 66085-9035
Phone (316) 689-6173
200 Commodore St
Pratt, KS 67124-2903
Phone (620) 672-7451
2600 Ottawa Rd
Neodesha, KS 66757-1897
Phone (620) 325-2611
302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8291
304 E 3Rd St
Washington County Hospital
Washington, KS 66968-2033
Phone (785) 325-2211
3210 NE Carnegie Dr
Lees Summit, MO 64064-3201
Phone (913) 469-8998
3251 N Rock Rd
Derby, KS 67037-3850
Phone (316) 425-2400
3333 N Webb Rd
Kansas Spine and Specialty Hospital
Wichita, KS 67226-8123
Phone (316) 462-5000
3601 N Webb Rd
Kansas Heart Hospital
Wichita, KS 67226-8129
Phone (316) 630-5000
400 W 8TH St
Mitchell County Hospital
Beloit, KS 67420-1605
Phone (785) 738-2266
605 N Main St
Ellinwood District Hospital and Clinic
Ellinwood, KS 67526-1440
Phone (620) 564-2548
800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355
929 N Saint Francis St
Wichita, KS 67214-3821
Phone (316) 686-4150
9778 N Ash Ave
Kansas City, MO 64157-9742
Phone (913) 469-8998
Hospital & facility affiliations
- Mercy Hospital Pittsburg, Inc
- Ascension Via Christi Hospitals Wichita, Inc.
- Mercy Hospital Joplin
- Girard Medical Center
- Bothwell Regional Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.81 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0426770 | KS | MD | Nuclear Radiology Physician |
| 04-26770 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sunflower Imaging | Current | Accepting new patients | |
| Kansas Imaging Consultants, PA | Body Imaging | Current | Accepting new patients |
| Nevada City Hospital | Current | Accepting new patients | |
| Nevada City Hospital | Current | Accepting new patients | |
| Chippewa Valley Hospital & Oakview Care Center Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Shawnee Mission Medical Center, Inc. | Current | Accepting new patients | |
| McPherson Hospital, Inc. | Current | Accepting new patients | |
| Alliance Radiology, PA | Pediatric Radiology | Current | Accepting new patients |
| McPherson Hospital, Inc. | Current | Accepting new patients | |
| Johnson County Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Chippewa Valley Hospital & Oakview Care Center, Inc. | Current | Accepting new patients | |
| Family Practice Associates of McPherson, L.L.P. | Current | Accepting new patients | |
| Advanced Medical Imaging - Hutchinson KS LLC | Past | Accepting new patients |
Locations
1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250
1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
11717 W 112th St
Overland Park, KS 66210
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
723 N McLean Blvd
Ste 330
Wichita, KS 67203
Phone (316) 687-1555
3009 N Cypress St
Wichita, KS 67226
Phone (316) 261-3111
3636 N Ridge Rd
Wichita, KS 67205
Phone (316) 462-2000
3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426
3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
3210 NE Carnegie Dr
Lees Summit, MO 64064
900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355
800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355
1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211
Interoperability endpoints
- stephen.clark@directsbamh.org
Organizations & group practices 14
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.
-
- Diagnostic Radiology Physician
- Shawnee Mission, KS
- NPI 1467400663
MO, Pediatric Radiology
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1720135114
MO
-
- Diagnostic Radiology Physician
- Wichita, KS
- NPI 1841267663
Body Imaging
-
- Rural Health Clinic/Center
- McPherson, KS
- NPI 1164524591
-
- Rural Acute Care Hospital
- Nevada, MO
- NPI 1942283866
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1992768683
-
- Emergency Medicine Physician
- Durand, WI
- NPI 1659471068
Diagnostic Radiology, KS
-
- Critical Access Hospital
- Durand, WI
- NPI 1194737817
-
- Family Medicine Physician
- McPherson, KS
- NPI 1588627384
-
- Hospitalist Physician
- McPherson, KS
- NPI 1821620378
-
- Radiology Clinic/Center
- Roeland Park, KS
- NPI 1578178521
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Wichita, KS
- NPI 1518721877
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1154314789
-
- Critical Access Hospital
- Girard, KS
- NPI 1578505095
-
- General Acute Care Hospital
- Pittsburg, KS
- NPI 1639921430
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1881676286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 FOXRIDGE DR",
"address_2": "STE 240",
"city": "MISSION",
"state": "KS",
"postal_code": "662022347",
"telephone_number": "913-261-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20333 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615350",
"telephone_number": "913-791-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-26770",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "KS",
"license": "0426770",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "KS",
"license": "0426770",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "KS",
"license": "0426770",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "KS",
"license": "0426770",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "KS",
"license": "0426770",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "KS",
"license": "0426770",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "KS",
"license": "0426770",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100331230D",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.