Individual provider Active NPI

Stephanie Nicole Vazquez, M.D.

  • Pediatric Critical Care Medicine Physician
  • Houston, TX
National Provider Identifier
1013412394
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
U7074 Issued in TX
Practice address
6651 Main St Ste E1420
Houston, TX 77030-2432
Phone
(954) 265-4461
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME151600 FL
Pediatrics Physician 208000000X U7074 TX
Pediatric Critical Care Medicine Physician 2080P0203X U7074 TX Primary

Addresses

Primary practice location

6651 Main St Ste E1420
Houston, TX 77030-2432

Mailing address

6651 Main St Ste E1420
Houston, TX 77030-2432
Phone (954) 265-4461

Other identifiers 1

IdentifierTypeStateIssuer
111-661-800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210920002669 FL Practitioner - Pediatric Medicine 3274880356 Reassigns benefits to 1 organization
I20250929003771 TX Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 3274880356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Critical Care (Intensivists)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1102 Bates Ave
Houston, TX 77030-2698

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME151600FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Hospitalist of South Florida PA Pediatrics CurrentSince Sep 10, 2021 Accepting new patients
Texas Children'S Physician Group Pediatrics CurrentSince Sep 16, 2025 Accepting new patients

Locations

1117 E Hallandale Beach Blvd
Fl Pa
Hallandale Beach, FL 33009

1117 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 454-5131

1005 N 35th Ave
Hollywood, FL 33021
Phone (954) 265-5324

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

6651 Main St
Ste E1420
Houston, TX 77030
Phone (832) 825-6230

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1013412394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST STE E1420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302432",
            "telephone_number": "954-265-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST STE E1420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302432",
            "telephone_number": "954-265-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME151600",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U7074",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TX",
            "license": "U7074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111-661-800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.