DR. STEPHEN SHERIDAN (M.D) – Emergency Medicine Physician, NPI 1578945754

DR. STEPHEN SHERIDAN (M.D) is a healthcare provider. based in Saint louis, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials M.D. They hold a License No. 036144849 (IL). The NPI Number for DR. STEPHEN SHERIDAN (M.D) is 1578945754

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN SHERIDAN (M.D)
NPI
1578945754
Phone
(813) 407-3677
Address
1503 BROCK ST
Enumeration Date
23 June 2015
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182575644
Graduation Year
2015 (11 years ago)
PAC ID
6002119013
Group Practice PAC ID
2769746056
Professional Enrollment ID
I20180111000004
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for DR. STEPHEN SHERIDAN (M.D)

  • 1503 BROCK ST

    SAINT LOUIS, MO 631393619

    Phone: (813) 407-3677

    Type: Mailing

  • 3635 VISTA AVE

    SAINT LOUIS, MO 631102539

    Phone: (813) 407-3677

    Type: Location

  • 915 N GRAND BLVD

    SAINT LOUIS, MO 631061621

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-07-01 • Largest payer in this snapshot: Becton, Dickinson and Company ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180111000004IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63139)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769746056View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineMO
Emergency MedicineMO
Emergency MedicineMO
Nurse PractitionerIL
Pediatric Medicine, Internal Medicine, Emergency MedicineTX
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Internal MedicineMO
Emergency MedicineCT
Emergency MedicineMO

Reviews

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Frequently asked questions

Can I cross-check DR. STEPHEN SHERIDAN (M.D) using NPI 1578945754?
NPI 1578945754 belongs to DR. STEPHEN SHERIDAN (M.D); compare other details if you need extra assurance.
Active or inactive — what applies to DR. STEPHEN SHERIDAN (M.D)?
You should see DR. STEPHEN SHERIDAN (M.D) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. STEPHEN SHERIDAN (M.D)?
DR. STEPHEN SHERIDAN (M.D)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. STEPHEN SHERIDAN (M.D) associated with Saint Louis?
Public fields place DR. STEPHEN SHERIDAN (M.D) around Saint Louis, Missouri. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. STEPHEN SHERIDAN (M.D)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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