Stefan Reid Huber, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T2630 Issued in TX

Practice address

9111 Jordan Lane
Suite 300
Woodway, TX 76712

Phone

(254) 253-2855

Fax

(254) 294-8413

NPI assigned

Jun 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Family Practice

Education

Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group Gulf Coast PLLC 511 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magnolia Home Health Home health agency, Waco, TX, CCN 677694
• Ascension Providence Hospital, Waco, TX, CCN 450042
• Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: stefan.huber.1@8042.direct.athenahealth.com

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.

• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465

  TX

  Medicare reassignment Care Compare group NPD
• Modera Clinic PLLC

  • Family Medicine Physician
  • Little Elm, TX
  • NPI 1962957639

  Family Medicine, TX

  Medicare reassignment NPD
• Privia Medical Group Gulf Coast PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1457167033
  Care Compare group NPD
• Tinovus Health PLLC

  • Primary Care Clinic/Center
  • Woodway, TX
  • NPI 1205525375
  NPD Authorized official
• Privia Medical Group Gulf Coast PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1639985211
  Care Compare group
• Privia Medical Group Gulf Coast, PLLC

  • Podiatrist
  • Austin, TX
  • NPI 1689267783
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679

  Hospital

  Care Compare affiliation
• Central Texas Homecare, LLC

  • Home Health Agency
  • Waco, TX
  • NPI 1811019367
  Care Compare affiliation
• Hillcrest Baptist Medical Center

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1891882833

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1023633716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 JORDAN LANE",
            "address_2": "SUITE 300",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-253-2855",
            "fax_number": "254-294-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 JORDAN LANE",
            "address_2": "SUITE 300",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-253-2855",
            "fax_number": "254-294-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "STEFAN",
        "middle_name": "REID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10070623",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T2630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Higher Directions Counseling, PLLC
• Nia Vanessa Hinds
• Susan Ann Hofmeister
• Hot Smiles PLLC
• Haven Booker Howell
• Huggy Bear Chiropractic and Wellness
• Anna Hughes-Vaughan
• Prentis Hyde, PT
• Immaculate Minds LLC
• Staci Marie Istre, M.S., CCC-SLP

• All providers in Woodway, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.