Individual provider Active NPI

Alexander N Stadnyk, M.D.

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1043280365
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
H3756 Issued in TX
Practice address
4801 Woodway Dr Ste 369W
Houston, TX 77056-1892
Phone
(713) 799-9916
Fax
(713) 799-9917
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X H3756 TX Primary

Addresses

Primary practice location

4801 Woodway Dr Ste 369W
Houston, TX 77056-1892

Mailing address

4801 Woodway Dr Ste 369W
Houston, TX 77056-1892
Phone (713) 799-9916

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101020001545 TX Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5496948531 Reassigns benefits to 1 organization
Practice locations: Houston, TX; Sugar Land, TX

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

4801 Woodway Dr
Suite 369W
Houston, TX 77056-1892
Phone (713) 622-7060

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Apr 12, 2023 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Apr 12, 2023 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

6624 Fannin St
Ste 1450
Houston, TX 77030
Phone (713) 383-6882

4801 Woodway Dr
Ste 373W
Houston, TX 77056
Phone (281) 979-9039

4801 Woodway Dr
Ste 369W
Houston, TX 77056
Phone (713) 622-7060

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 238-1600

17510 W Grand Pkwy S
Ste 400
Sugar Land, TX 77479
Phone (281) 341-3036

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: alexander.stadnyk.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1043280365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 369W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561892",
            "telephone_number": "713-799-9916",
            "fax_number": "713-799-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WOODWAY DR STE 369W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561892",
            "telephone_number": "713-799-9916",
            "fax_number": "713-799-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADNYK",
        "first_name": "ALEXANDER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "H3756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.