Individual provider Active NPI

John J Stephens, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1902002744
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2011018257 Issued in MO
Practice address
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(314) 525-1165
NPI assigned
Jun 26, 2007
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q071113MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120321000760 MO Practitioner - Diagnostic Radiology 1557521937 Reassigns benefits to 10 organizations
I20230220001253 OK Practitioner - Diagnostic Radiology 1557521937
I20230512002427 TN Practitioner - Diagnostic Radiology 1557521937 Reassigns benefits to 2 organizations

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
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians
Savannah Chatham Imaging LLCGroup PAC ID 6800890245, 32 clinicians
USA Radiology of Pennsylvania LLCGroup PAC ID 0345594388, 22 clinicians
USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians

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

LicenseStateTypeSpecialty
49018TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jan 28, 2023 Accepting new patients
USA Radiology of Pennsylvania, LLC CurrentSince Apr 1, 2021 Accepting new patients
SSM Health Care Group Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Feb 1, 2021 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Missouri Delta Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Pemiscot County Memorial Hospital CurrentSince Feb 1, 2021 Accepting new patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince Aug 1, 2021 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.

View all 14

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.