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KONRAD TOMAZ STEPNIAKOWSKI MD NPI 1518900257


NPI Information

NPI: 1518900257
Provider Name: KONRAD TOMAZ STEPNIAKOWSKI, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Organization: MID-SOUTH NEPHROLOGY CONSULTANTS PLLC

PECOS Registration: Yes

Address:
6490 MOUNT MORIAH ROAD EXT
SUITE 200
MEMPHIS, TN
ZIP 38115
Phone: (901) 565-0244
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Konrad Tomaz Stepniakowski, MD is a specialist in Memphis, TN with 40 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Konrad Tomaz Stepniakowski, MD NPI is 1518900257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6490 MOUNT MORIAH ROAD EXT
SUITE 200
MEMPHIS, TN
ZIP 38115-729
Phone: (901) 565-0244
Fax: (901) 565-0616

The NPI 1518900257 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist50061GEORGIANo
2174400000XSpecialistE-5830ARKANSASNo
3174400000XSpecialistMD036208TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13873696MEDICAIDTENNESSEE
2BS7714719OTHERDEA
35H402B527MEDICARE PINARKANSAS
44048101OTHERTENNESSEEBSBC
5H66069MEDICARE UPIN
63873696MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.