Individual provider Active NPI

Philip D. Stevens, M.D.

  • Emergency Medicine Physician
  • Roeland Park, KS
National Provider Identifier
1932172525
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R8664 Issued in MO
Practice address
5201 Neosho Ave
Roeland Park, KS 66205-1435
Phone
(913) 384-0422
NPI assigned
Feb 13, 2006
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R8664 MO Primary
Emergency Medicine Physician 207P00000X 0417932 KS

Addresses

Primary practice location

5201 Neosho Ave
Roeland Park, KS 66205-1435

Mailing address

5201 Neosho Ave
Roeland Park, KS 66205-1435
Phone (913) 384-0422

Other identifiers 1

IdentifierTypeStateIssuer
1932172525OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NM, NC, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040513000748 MO Practitioner - Emergency Medicine 2365432267 Reassigns benefits to 8 organizations
I20140916002329 NM Practitioner - Emergency Medicine 2365432267
I20200114001456 NC Practitioner - Emergency Medicine 2365432267 Reassigns benefits to 1 organization
I20240606003516 TX Practitioner - Emergency Medicine 2365432267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N One Mile Rd
Dexter, MO 63841-1015
Phone (573) 614-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0417932KSMDEmergency Medicine Physician
R8664MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Hermann Area Hospital District CurrentSince Jun 12, 2012 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Apr 28, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Jan 14, 2026 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 22, 2019 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Jan 14, 2026 Accepting new patients
Texas County Memorial Hospital CurrentSince Aug 27, 2022 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jan 4, 2013 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 3, 2020 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Hermann Area Hospital District CurrentSince Jun 12, 2012 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 3, 2020 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince Aug 27, 2022 Accepting new patients
Potosi Emergency Group, LLC Emergency Medicine CurrentSince Sep 12, 2021 Accepting new patients
New Mexico Em-1 Medical Services, P.C. Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Audrain Health Care, Inc Past Accepting new patients
Emergency Physicians of Topeka PA Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
  • Direct secure messaging: pstevens@yourcarecommunity.org
  • Direct secure messaging: pstevens11265@ahs.direct-ci.com

Organizations & group practices 22

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 22

Hospital & facility affiliations 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1932172525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NEOSHO AVE",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662051435",
            "telephone_number": "913-384-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NEOSHO AVE",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662051435",
            "telephone_number": "913-384-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "PHILIP",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R8664",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0417932",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1932172525",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roeland Park, KS

Sources for this page

Verify at the official NPI Registry.