Active NPI
Nicholai Stephens, M.D.
- Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- P9262
- Practice address
- 12121 Richmond Ave Ste 224
Houston, TX 77082-2422 - Phone
- (713) 935-9758
- Fax
- (713) 467-6209
- NPI assigned
- Sep 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P9262 | TX | Primary |
Addresses
Primary practice location
12121 Richmond Ave Ste 224
Houston, TX 77082-2422
Mailing address
1140 Business Center Dr Ste 403
Houston, TX 77043-2743
Phone (713) 935-9758
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 Business Ctr Dr
Suite 403
Houston, TX 77043-2743
Phone (713) 935-9758
Hospital & facility affiliations
- HCA Houston Healthcare West
- Ad Hospital East, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Table Specialist Group, PLLC | Current | Accepting new patients | |
| Surgical Associates of Houston, P.a. | Surgery | Current | Accepting new patients |
| Round Table Physicians Group PLLC | Current | Accepting new patients |
Locations
5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787
12121 Richmond Ave
Ste 224
Houston, TX 77082
Phone (281) 491-9300
1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000
11103 Westheimer Rd
#C
Houston, TX 77042
1140 Business Center Dr
#4
Houston, TX 77043
1140 Business Center Dr
Ste 403
Houston, TX 77043
Phone (281) 713-5870
800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFEFBA/Endpoint/GFEFBA
- nicholai.stephens.1@13131.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Surgery Physician
- Houston, TX
- NPI 1316913478
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1497152268
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bellaire, TX
- NPI 1023439114
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1669732178
-
- General Acute Care Hospital
- Houston, TX
- NPI 1275580938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1134479199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 BUSINESS CENTER DR STE 403",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770432743",
"telephone_number": "713-935-9758",
"fax_number": "713-467-6209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 RICHMOND AVE STE 224",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822422",
"telephone_number": "713-935-9758",
"fax_number": "713-467-6209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "NICHOLAI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "P9262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.