Active NPI
John J Stephens, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2011018257
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (314) 525-1165
- NPI assigned
- Jun 26, 2007
- Last updated
- Dec 9, 2025
- 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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 49018 | TN | |
| Neuroradiology Physician | 2085N0700X | 2011018257 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 2011018257 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 49018 | TN |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone (314) 991-8200
Other practice location 1
3601 The Vanderbilt Clinic
Nashville, TN 37232-5100
Phone (615) 322-5000
Other practice location 2
7 Kahlia Way Ct
Saint Louis, MO 63127-1938
Phone (615) 322-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q071113 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OK, TN
- 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
- Stanford University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1165
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191
7 Kahlia Way CT
Saint Louis, MO 63127-1938
Phone (615) 322-5000
946 E Reed
Hayti, MO 63851
Phone (314) 821-8055
946 E Reed St Radiology Department
Pemiscot Memorial Hospital
Hayti, MO 63851-1243
Phone (573) 359-1372
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49018 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| USA Radiology of Pennsylvania, LLC | Current | Accepting new patients | |
| SSM Health Care Group | Diagnostic Radiology | Current | Accepting new patients |
| Pemiscot County Memorial Hospital | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Pemiscot County Memorial Hospital | Current | Accepting new patients | |
| USA Radiology Management Solutions LLC | Diagnostic Radiology | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| Savannah Chatham Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lauderdale Community Hospital LLC | Past | Accepting new patients | |
| Parkersburg Radiology Services, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 27)
Dept A T 40379
Atlanta, GA 31192
Dept AT 40379
Atlanta, GA 31192
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
10 Little Brook Rd
West Wareham, MA 02576
17651 Highway B
Boonville, MO 65233
Phone (660) 882-7461
16091 Swingley Ridge Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 728-2222
946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104
204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Diagnostic Radiology Physician
- Rolla, MO
- NPI 1689091076
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
MO
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
-
- Emergency Care Clinic/Center
- Hayti, MO
- NPI 1578668661
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Diagnostic Radiology
-
dba Delta Regional Pharmacy
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- Rural Acute Care Hospital
- Hayti, MO
- NPI 1437179710
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Salem, MO
- NPI 1194077701
Hospital
-
dba Phelps Health
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
-
dba Dyersburg Employee Pharmacy
- Community/Retail Pharmacy
- Dyersburg, TN
- NPI 1043282338
Hospital
-
dba West Tennessee Healthcare County Hospital
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1902002744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 OLDE CABIN RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417129",
"telephone_number": "314-991-8200",
"fax_number": "314-569-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-1165"
}
],
"practiceLocations": [
{
"address_1": "3601 The Vanderbilt Clinic",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372325100",
"country_code": "US",
"telephone_number": "615-322-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Kahlia Way Ct",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631271938",
"country_code": "US",
"telephone_number": "615-322-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TN",
"license": "49018",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MO",
"license": "2011018257",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2011018257",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "49018",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q071113",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.