NPIMap

Individual provider Active NPI

Stephanie Denman

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1053895250
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11920 Astoria Blvd Ste 292
Houston, TX 77089-6155
Phone
(713) 486-7970
Fax
(713) 486-7979
NPI assigned
Sep 24, 2018
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11920 Astoria Blvd Ste 292
Houston, TX 77089-6155

Mailing address

6400 Fannin St Ste 2070
Houston, TX 77030-1541
Phone (713) 486-7747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190227000700 TX Practitioner - Physician Assistant 4789923343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 2961732193, 206 clinicians

Practice addresses (Care Compare)

11920 Astoria Blvd
Suite 292
Houston, TX 77089-6155
Phone (713) 486-7970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.63 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Physician Assistant CurrentSince Jan 2, 2019 Accepting new patients
Ut Physicians CurrentSince Jan 2, 2019 Accepting new patients

Locations

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6400 Fannin St
Ste 1400
Houston, TX 77030
Phone (713) 704-3450

6400 Fannin St
Ste 2070
Houston, TX 77030
Phone (713) 704-6731

6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

929 Gessner Rd
Ste 2410
Houston, TX 77024
Phone (713) 242-4410

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

10905 Memorial Hermann Dr
Ste 21
Pearland, TX 77584
Phone (713) 486-7680

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1053895250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2070",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301541",
            "telephone_number": "713-486-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD STE 292",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896155",
            "telephone_number": "713-486-7970",
            "fax_number": "713-486-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENMAN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.