KYLE JAMES STEVENS (DO) – Diagnostic Radiology Physician, NPI 1033675830
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for KYLE JAMES STEVENS (DO)
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 782344504
Phone: (210) 228-6921
Type: Mailing
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 782365638
Phone:
Type: Mailing
310 Salem Woodstown Rd
Salem, NJ 080792064
Phone: (856) 935-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240620000605 | I | Diagnostic Radiology | TX | TBD |
| I20241001000712 | I | Diagnostic Radiology | NJ | TBD |
| I20260115002843 | I | Diagnostic Radiology | IL | TBD |
| I20260206001989 | I | Diagnostic Radiology | WI | TBD |
| I20260225002461 | I | Diagnostic Radiology | WA | TBD |
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.
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 78234)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | MO |
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