Individual provider Active NPI

Jeffrey S Stevens, D.P.M.

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1962519330
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000694 Issued in IN
Practice address
7855 S Emerson Ave
Suite T
Indianapolis, IN 46237-8668
Phone
(317) 300-0106
Fax
(317) 497-8383
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000694 IN Primary

Addresses

Primary practice location

7855 S Emerson Ave
Suite T
Indianapolis, IN 46237-8668

Mailing address

7855 S Emerson Ae Stet
Indianapolis, IN 46237-8669
Phone (317) 300-0106

Other identifiers 3

IdentifierTypeStateIssuer
480019149OtherINMEDICARE RR PROV#
100130870MedicaidIN
87821OtherINBCBS/ANTHEM PROV #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjstevens@indysouthfootandankle.medentdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000180 IN Practitioner - Podiatry 6901934728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7855 S Emerson Ave
Suite T
Indianapolis, IN 46237-8669
Phone (317) 300-0106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100Reported as individual
Quality
88.18
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions46
Removal of nail tissue246
Removal or shaving of skin growth36
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000694INMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beech Grove Foot Care Inc Podiatrist CurrentSince Oct 20, 1989 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7855 S Emerson Ave
Ste T
Indianapolis, IN 46237
Phone (317) 300-0106

Interoperability endpoints

  • Direct secure messaging: drjstevens@indysouthfootandankle.medentdirect.com
  • Direct secure messaging: jstevens10621@direct.franciscanalliance.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1962519330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AE STET",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378669",
            "telephone_number": "317-300-0106",
            "fax_number": "317-497-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 S EMERSON AVE",
            "address_2": "SUITE T",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378668",
            "telephone_number": "317-300-0106",
            "fax_number": "317-497-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PROV#",
            "identifier": "480019149",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130870",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/ANTHEM PROV #",
            "identifier": "87821",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjstevens@indysouthfootandankle.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "dr stevens",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7855 S Emerson Ave",
            "address_2": "Suite T",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.