Individual provider Active NPI

Shawn T Stone, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1891040689
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0058120 Issued in CO
Practice address
17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone
(833) 228-6889
Fax
(877) 853-0376
NPI assigned
Jul 17, 2012
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MC-163 GU
Diagnostic Radiology Physician 2085R0202X 28626 NE
Diagnostic Radiology Physician 2085R0202X 15272 ND
Diagnostic Radiology Physician 2085R0202X DR.0058120 CO Primary
Diagnostic Radiology Physician 2085R0202X 11892C WY
Diagnostic Radiology Physician 2085R0202X 2018029416 MO

Addresses

Primary practice location

17310 Wright St Ste 103
Omaha, NE 68130-2405

Mailing address

17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone (833) 228-6889

Other practice location 1

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

Other practice location 2

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5301

Other practice location 3

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Other practice location 4

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-3375

Other practice location 5

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, WI, WA, MN, TN, IA, MA, ND, WY, IL, AR, MO, SC, SD, NC, CA, NM18 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 18

Enrollment IDStateProvider typePAC IDDetails
I20170803000530 CO Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 6103103569 Reassigns benefits to 34 organizations
I20190111001262 TX Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 6 organizations
I20190826000006 WI Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 2 organizations
I20190909003844 WA Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 1 organization
I20191002002767 MN Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 1 organization
I20191010003247 TN Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 1 organization
I20200520002911 IA Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 3 organizations
I20201108000015 MA Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 7 organizations
I20220216000222 ND Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 1 organization
I20221014001557 WY Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 2 organizations
I20221220001839 IL Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 2 organizations
I20230220002707 AR Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 1 organization
I20230225000426 MO Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 2 organizations
I20240417002836 SC Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 2 organizations
I20240619001746 SD Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 2 organizations
I20250103000767 NC Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 3 organizations
I20250415002473 CA Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 1 organization
I20250505001435 NM Practitioner - Diagnostic Radiology 6103103569 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
University of Colorado School of Medicine, Denver, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Diagnostic Radiology of Anderson PAGroup PAC ID 3173559945, 43 clinicians
Trinity HealthGroup PAC ID 7911816020, 292 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians
Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians
Associated Radiologists LTDGroup PAC ID 8123009941, 38 clinicians
Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians
Diagnostic Radiology PCGroup PAC ID 2264491570, 65 clinicians
Radiologists of Cape Cod HospitalGroup PAC ID 2961872452, 18 clinicians
East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians
Mahaska County HospitalGroup PAC ID 2769388677, 128 clinicians
Radiologic Medical Services PCGroup PAC ID 3577451491, 29 clinicians
Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians
Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians
X-Ray Associates of New Mexico PCGroup PAC ID 6709879430, 53 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Practice addresses (Care Compare)

Monument, CO 80132
Phone (910) 615-4000

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

101 E Wood St
Spartanburg, SC 29303-3040

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

1470 Sugarland Dr
Suite 1
Sheridan, WY 82801-5774
Phone (307) 673-2411

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

213 E Michigan Ave
Berthoud, CO 80513-1374
Phone (870) 910-6654

2225 Piazza Way
Grand Junction, CO 81506-4193
Phone (815) 599-6000

250 Ox Yoke Way
Monument, CO 80132-8553
Phone (402) 493-1212

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

27 Park St
Hyannis, MA 02601-5230
Phone (508) 862-5000

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

545 3Rd St
Unit 2005
Monument, CO 80132-4582
Phone (605) 322-4878

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

700 High St NE
Albuquerque, NM 87102-2565
Phone (502) 596-7358

PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018029416MOMDDiagnostic Radiology Physician

Practice roles (60 of 101)

OrganizationSpecialtyStatusNew patients
The Duluth Clinic LTD CurrentSince Sep 16, 2019 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince May 1, 2023 Accepting new patients
East Georgia Radiology LLC Diagnostic Radiology CurrentSince Feb 4, 2025 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jun 22, 2019 Accepting new patients
Cheyenne Radiology Group CurrentSince Apr 1, 2022 Accepting new patients
Radiologic Medical Services PC Diagnostic Radiology CurrentSince Aug 2, 2023 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 1, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Hansford County Hospital District CurrentSince Feb 26, 2026 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Radiologists of Cape Cod Hospital Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Nov 14, 2018 Accepting new patients
Trinity Health CurrentSince Feb 1, 2022 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Nov 19, 2024 Accepting new patients
Gibson Community Hospital Association Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Sgoh Acquisition Inc CurrentSince Jan 1, 2023 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Oct 19, 2019 Accepting new patients
NRHS Radiology Associates Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Memorial Hospital of Sheridan County Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince Sep 15, 2019 Accepting new patients
KND Development 59 LLC CurrentSince Jan 5, 2026 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Primrose Nephrology, Inc. Current Accepting new patients
X-Ray Associates of New Mexico PC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Otero County Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Nova Medical Group PC Family Medicine CurrentSince Oct 19, 2024 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Sep 16, 2019 Accepting new patients
Gibson Community Hospital Association CurrentSince Dec 1, 2022 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2020 Accepting new patients
Chickasaw Nation Division of Health Current Accepting new patients
Riverbend Medical Group, Inc CurrentSince May 5, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Sep 12, 2025 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Apr 1, 2024 Accepting new patients
Florida Keys Radiology Associates LLP Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Oct 21, 2023 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Mar 3, 2023 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Guam Memorial Hospital CurrentSince Sep 15, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Sep 12, 2025 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Sep 2, 2023 Accepting new patients
Mahaska County Hospital Family Medicine CurrentSince Jan 3, 2024 Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2019 Accepting new patients
Freeport Memorial Hospital CurrentSince May 6, 2024 Accepting new patients
State University of Iowa Family Medicine CurrentSince Jun 15, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Oct 1, 2022 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Lima Radiological Associates Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 14, 2021 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jun 22, 2019 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Nov 14, 2018 Accepting new patients

Locations (25 of 93)

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

25495 Medical Center Dr
Ste 204
Murrieta, CA 92562
Phone (951) 698-1901

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 522-7743

545 3rd St
Unit 2005
Monument, CO 80132
Phone (402) 575-7050

545 3rd St
Unit 3
Monument, CO 80132

1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1948 1st Ave NE
Cedar Rapids, IA 52402
Phone 3193640121 ext. 7305

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223

2771 Oakdale Blvd
Ste 3
Oakdale, IA 52241
Phone (319) 545-7310

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: sstone432792@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 102

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.

View all 102

Hospital & facility affiliations 7

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1891040689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Burdick Expy W",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014406",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5301",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179848",
            "country_code": "US",
            "telephone_number": "319-356-3375",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-339-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "SHAWN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MC-163",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "28626",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "15272",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0058120",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "11892C",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2018029416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.