Stephanie Kochuparambil, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5300 W Plano Pkwy Ste 100
Plano, TX 75093-4851

Phone

(972) 733-7242

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bent Tree Medicine PLLCGroup PAC ID 6204185127, 21 clinicians

Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Bent Tree Medicine, PLLC

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1215430756
  Medicare reassignment Care Compare group
• Bent Tree Psychiatric Assoc

  • Psychiatry Physician
  • Plano, TX
  • NPI 1447225420
  Medicare reassignment Care Compare group
• Gracious Minds Counseling and Supervision Inc.

  • Clinical Social Worker
  • Houston, TX
  • NPI 1144867292
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1093330722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 BISSONNET ST APT 5213",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051571",
            "telephone_number": "214-608-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934851",
            "telephone_number": "972-733-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHUPARAMBIL",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-10-25",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knoxville Dermatopathology Laboratory LLC
• Hyejon Ko, O.D.
• Jane Yi Mei Ko, MD
• Koc Healthcare Services Inc
• Koc Healthcare Services Inc
• Denise Koehler
• Traci D Koen, LPC
• Alan David Koenigsberg, M.D.
• Elaina Koesters, RBT
• Dena Kohleriter, LCSW

• Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.