Individual provider Active NPI

Nicholai Stephens, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1134479199
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P9262 Issued in TX
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

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726003707 TX Practitioner - General Surgery 6608146444 Reassigns benefits to 2 organizations

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
Surgical Associates of Houston, P.a.Group PAC ID 0648294140, 2 clinicians

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 Hospital, Houston, TX, CCN 450644
  • Ad Hospital East, LLC Hospital, Houston, TX, CCN 670102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Surgical Associates of Houston, P.a. Surgery CurrentSince May 1, 2018 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFEFBA/Endpoint/GFEFBA
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.