Organization Active NPI

Interventional Partners LLC

  • Vascular & Interventional Radiology Physician
  • Sugar Land, TX
National Provider Identifier
1063044527
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
INTERVENTIONAL PARTNERS LLC
Practice address
4690 Sweetwater Blvd Ste 200
Sugar Land, TX 77479-3478
Phone
(281) 565-0033
Fax
(281) 565-0568
NPI assigned
Feb 12, 2020
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Jaryd Stein, MD
Title
Owner/ Chief Executive Director
Phone
(213) 392-4976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

4690 Sweetwater Blvd Ste 200
Sugar Land, TX 77479-3478

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (469) 850-5760

Other identifiers 1

IdentifierTypeStateIssuer
7736730032OtherTXNSC DME SUPPLIER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.miller@stridecare.com

National Provider Directory

National Provider Directory

Locations

4690 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (214) 838-6440

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1063044527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "469-850-5760",
            "fax_number": "469-716-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 SWEETWATER BLVD STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793478",
            "telephone_number": "281-565-0033",
            "fax_number": "281-565-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JARYD",
        "authorized_official_title_or_position": "OWNER/ CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-392-4976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC DME SUPPLIER",
            "identifier": "7736730032",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.miller@stridecare.com",
            "affiliation": "N",
            "address_1": "4690 Sweetwater Blvd Ste 200",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774793478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.