Active NPI
Philip D. Stevens, M.D.
- Emergency Medicine Physician
- Roeland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R8664
- Practice address
- 5201 Neosho Ave
Roeland Park, KS 66205-1435 - Phone
- (913) 384-0422
- NPI assigned
- Feb 13, 2006
- Last updated
- Aug 5, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932172525 | Other | KS | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NM, NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0417932 | KS | MD | Emergency Medicine Physician |
| R8664 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Hermann Area Hospital District | Current | Accepting new patients | |
| Ste. Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Southeast Health Center of Stoddard County, LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Southeast Health Center of Stoddard County LLC | Emergency Medicine | Current | Accepting new patients |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Analytical Pathology Services LTD | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Hermann Area Hospital District | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Texas County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Potosi Emergency Group, LLC | Emergency Medicine | Current | 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
- https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
- pstevens@yourcarecommunity.org
- 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.
-
dba Mercy Hospital Stoddard
- Rural Health Clinic/Center
- Dexter, MO
- NPI 1790828812
-
dba Hermann Area District Hospital
- Family Medicine Physician
- Hermann, MO
- NPI 1083749188
-
- Emergency Medicine Physician
- Potosi, MO
- NPI 1881075349
-
dba Mercy Clinic Southeast
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
-
- General Acute Care Hospital
- Houston, MO
- NPI 1790740363
Emergency Medicine
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1558343673
-
- Emergency Medicine Physician
- Wentzville, MO
- NPI 1568017994
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
dba Mercy Hospital Stoddard
- General Acute Care Hospital
- Dexter, MO
- NPI 1801990825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.