Organization Active NPI

Stellar Primary Care PLLC

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1023869583
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STELLAR PRIMARY CARE PLLC
Practice address
8303 N Stemmons Fwy Ste 100
Dallas, TX 75247-4107
Phone
(214) 480-4155
Fax
(972) 634-4816
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
James Lugo Rodriguez, MDNPI 1043706682
Title
MD/ Primary Care Physician
Phone
(214) 480-4155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8303 N Stemmons Fwy Ste 100
Dallas, TX 75247-4107

Mailing address

8303 N Stemmons Fwy Ste 100
Dallas, TX 75247-4107
Phone (214) 480-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508001772 TX Part B Supplier - Clinic/Group Practice 3476994476 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2327099Stellar Primary Care PLLC8303 North Stemmons Fwy, Ste 100, Dallas, TX 75247Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

8303 N Stemmons Fwy
Ste 100
Dallas, TX 75247
Phone (214) 480-4155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1023869583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 N STEMMONS FWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474107",
            "telephone_number": "214-480-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 N STEMMONS FWY STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474107",
            "telephone_number": "214-480-4155",
            "fax_number": "972-634-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "LUGO RODRIGUEZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MD/ PRIMARY CARE PHYSICIAN",
        "authorized_official_telephone_number": "214-480-4155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.